Individual
MS. AMY L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 E CHAUTAUQUA ST, MAYVILLE, NY 14757-1009
(716) 753-4366
Mailing address
1428 CLYMER HILL RD, CLYMER, NY 14724-9732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22500227
NY
Other
Enumeration date
07/30/2008
Last updated
05/10/2012
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