Individual
MRS. DENISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
630 66TH ST, NIAGARA FALLS, NY 14304-2212
(716) 278-7980
Mailing address
3016 DORCHESTER RD, NIAGARA FALLS, NY 14305-1818
(716) 278-7986
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
434932-1
NY
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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