Individual
MONIQUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
367 W 116TH ST APT 3, NEW YORK, NY 10026-2169
(212) 920-4846
Mailing address
367 W 116TH ST APT 3, NEW YORK, NY 10026-2169
(212) 920-4846
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
881731-01
NY
163WC0400X
Case Management Registered Nurse
881731-01
NY
163WH0200X
Home Health Registered Nurse
Primary
881731-01
NY
163WI0500X
Infusion Therapy Registered Nurse
881731-01
NY
163WW0000X
Wound Care Registered Nurse
881731-01
NY
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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