Individual
MRS. DIANA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE
Contact information
Practice address
278 VT ROUTE 149, WEST PAWLET, VT 05775-9798
(802) 645-0580
Mailing address
1608 MILL POND RD, WELLS, VT 05774-9911
(802) 645-9521
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
0260019756
VT
Other
Enumeration date
06/24/2018
Last updated
02/05/2020
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