Individual
MS. MARY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.C.N.P.
Contact information
Practice address
601 ELMWOOD AVE, BOX 619-13 ADULT NURSING, ROCHESTER, NY 14642-0001
(585) 275-5875
(585) 271-7929
Mailing address
601 ELMWOOD AVE, BOX 619-13 ADULT NURSING, ROCHESTER, NY 14642-0001
(585) 275-5875
(585) 271-7929
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
430107
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F4301071
NY
Other
Enumeration date
07/24/2006
Last updated
07/05/2023
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