Individual
MRS. DARITZA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
260 E 188TH ST, BRONX, NY 10458-5302
(718) 618-8854
Mailing address
260 E 188TH ST, BRONX, NY 10458-5302
(718) 618-8854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F355526-1
NY
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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