Individual
EVELYN J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CFNP
Contact information
Practice address
477 SOUTHWICK RD, WESTFIELD, MA 01085-4734
(413) 562-5256
(413) 568-4757
Mailing address
31 MAPLE ST, PO BOX 1055, BELCHERTOWN, MA 01007-9416
(413) 883-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
203108
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP9973
MABCBS PROVIDER NUMBER
MA
Enumeration date
01/24/2007
Last updated
02/29/2012
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