Individual
MS. ANGELA MILLICENT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
159 ALABAMA AVE, HEMPSTEAD, NY 11550
(516) 414-1731
Mailing address
159 ALABAMA AVE, HEMPSTEAD, NY 11550
(516) 414-1731
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2432971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01774221
—
NY
Enumeration date
01/31/2008
Last updated
01/31/2008
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