Individual
ELIZABETH ANN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1051 CUMBERLAND AVE, WEST LAFAYETTE, IN 47906-1447
(765) 463-2571
Mailing address
1425 W CANDLEWICK LN, WEST LAFAYETTE, IN 47906-7110
(765) 412-4649
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27039913A
IN
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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