Individual
BETTINA NORMA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8000
Mailing address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN205046
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
205046
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110089080A
—
MA
Enumeration date
09/30/2010
Last updated
11/22/2020
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