Individual
HEATHER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 SOUTH ST, CUMMINGTON, MA 01026-9501
(413) 200-7511
Mailing address
151 SOUTH ST, CUMMINGTON, MA 01026-9501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2317223
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2317223
NURSING LICENSE
MA
Enumeration date
02/25/2021
Last updated
02/25/2021
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