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Individual

MS. DARLEEN D JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
501 CRESCENT ST, SCSU-GRANOFF STUDENT HEALTH CENTER, NEW HAVEN, CT 06515-1330
(203) 392-6300
(203) 392-6301
Mailing address
1429 TROUT BROOK DR, WEST HARTFORD, CT 06117-2655

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
001696
CT
363LP2300X
Primary Care Nurse Practitioner
001696
CT
363LX0106X
Occupational Health Nurse Practitioner
001696
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396881751
CT
Enumeration date
01/30/2007
Last updated
09/20/2016
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