Individual
THERESA MARIE JOHNSTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4745 OGLETOWN STANTON RD, MEDICAL ARTS PAVILLION 1 SUITE 136, NEWARK, DE 19713-2067
(302) 733-2387
Mailing address
123 NETHERLANDS DR, MIDDLETOWN, DE 19709-9679
(302) 834-0741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0000161
DE
Other
Enumeration date
09/15/2005
Last updated
07/08/2007
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