Individual
MICHELE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
105 CANAL LANDING BLVD STE 1, ROCHESTER, NY 14626-5107
(585) 368-4050
(585) 723-6705
Mailing address
470 COLLINS ST, AVON, NY 14414-1466
(585) 226-2640
(585) 226-2206
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
307831
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
307831
NY
Other
Enumeration date
07/27/2010
Last updated
12/04/2019
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