Individual
MRS. DIANNE ROSE HAUCK-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
1516 10TH AVE, BROOKLYN, NY 11215-5904
(347) 482-7042
Mailing address
1516 10TH AVE, BROOKLYN, NY 11215-5904
(347) 482-7042
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F332452-1
NY
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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