Individual
MAUREEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 E 34TH ST, NEW YORK, NY 10016-4901
(814) 450-6347
Mailing address
34 GRAHAM PL, ROCKAWAY POINT, NY 11697-1905
(814) 450-6347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22 589207
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
430883
NY
Other
Enumeration date
03/14/2014
Last updated
03/27/2026
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