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Individual

DR. LISABETH EMERSON JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD APRN

Contact information

Practice address
361 PARK ROAD, WEST HARTFORD, CT 06119
(860) 523-1101
(860) 233-4305
Mailing address
145 WHITING LANE, WEST HARTFORD, CT 06119
(860) 233-4305
(860) 233-4305

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
000355
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004645744
AETNA
01
135998
VALUE OPTIONS
01
168777
MHN
01
400000355CT03
BLUE CROSS & BLUE SHIELD
01
6197478
UNITED BEHAVIORAL HEALTH
01
692201
PACIFICARE
01
P2742846
OXFORD
01
ZA8706
HEALTH NET
Enumeration date
12/18/2006
Last updated
03/07/2023
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