Individual
MICHELE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2013 BOULEVARD AVE, SCRANTON, PA 18509-1205
(570) 963-1276
(570) 558-2455
Mailing address
2010 ADAMS AVENUE, SCRANTON, PA 18509-1599
(570) 963-1278
(570) 963-1292
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN306990L
PA
163WA2000X
Administrator Registered Nurse
RN306990L
PA
163WP0200X
Pediatric Registered Nurse
Primary
RN306990L
PA
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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