Individual
MICHAELA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
140 COMMONWEALTH AVE, CHESTNUT HILL, MA 02467-3858
(516) 456-8142
Mailing address
41 MALL RD LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 01805-0001
(781) 744-8400
(781) 744-5245
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2327072
MA
363LF0000X
Family Nurse Practitioner
F06191029
MA
Other
Enumeration date
07/08/2019
Last updated
10/14/2019
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