Individual
MADELYN RAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
473 SUMNER AVE, SPRINGFIELD, MA 01108-2321
(413) 739-1100
Mailing address
473 SUMNER AVE, SPRINGFIELD, MA 01108-2321
(413) 739-1100
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN10022851
MA
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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