Individual
MS. ELAINE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17 MAIN STREET, VALLEY REGIONAL PRIMARY CARE PHYSICIANS, NEWPORT, NH 03773
(603) 863-6400
(603) 863-7800
Mailing address
243 ELM ST, CLAREMONT, NH 03743
(603) 863-6400
(603) 863-7800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
043163-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30347909
—
NH
05
—
ONP0714
—
VT
Enumeration date
01/31/2006
Last updated
02/22/2012
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