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Individual

VALARIE ANN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
464 HOWARD AVE APT 2A, STATEN ISLAND, NY 10301-4464
(347) 466-2122
Mailing address
PO BOX 30433, STATEN ISLAND, NY 10303-0433
(347) 466-2122

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
40306901
NY

Other

Enumeration date
03/22/2023
Last updated
03/22/2023
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