Individual
CHERYL ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9 PEACH BLOSSOM RD S, HILTON, NY 14468-1017
(585) 366-7125
Mailing address
9 PEACH BLOSSOM RD S, HILTON, NY 14468-1017
(585) 366-7125
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
471570-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
471570-1
—
NY
Enumeration date
01/17/2018
Last updated
01/17/2018
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