Individual
MOREEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CHRISTIAN NURSING REGISTRY, 17 BANK AVE, SMITH TOWN, NY 11787
(631) 265-5300
Mailing address
CHRISTIAN NURSING REGISTRY, 17 BANK AVE, SMITH TOWN, NY 11787
(631) 265-5300
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
714762
NY
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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