Individual
NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTER NURSE
Contact information
Practice address
4845 TRANSIT RD APT T7, DEPEW, NY 14043-4945
(716) 491-6600
Mailing address
134 CENTURY RD, CHEEKTOWAGA, NY 14215-1357
(716) 544-7992
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
549204
NY
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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