Individual
TINA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3300 MAIN STREET, SUITE 4D, SPRINGFIELD, MA 01107-1112
(413) 794-8336
(413) 794-7345
Mailing address
280 CHESTNUT ST, 2ND FL, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN167829
MA
Other
Enumeration date
07/27/2006
Last updated
12/22/2017
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