Individual
DIANE E JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3705 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3467
(614) 262-6772
(614) 262-7074
Mailing address
DEPT L-3061, COLUMBUS, OH 43260-0001
(614) 265-2921
(614) 262-7074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
06077-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2476744
—
OH
Enumeration date
06/14/2005
Last updated
09/02/2010
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