Individual
ROBERTA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 BELMONT ST, WORCESTER, MA 01604-1086
(508) 756-1808
Mailing address
1 JOHNATHAN PASS, DUDLEY, MA 01571-6068
(508) 341-9166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN278413
MA
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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