Individual
DIANE MARIE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1256 WALKER AVE, WALKER, MI 40504
(616) 235-2910
Mailing address
6661 NOFFKE DRIVE, CALEDONIA, MI 49316
(616) 828-7740
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704127286
MI
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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