Most Relevant Information
Provider Data
| NPI Number: | 1003244922 |
| Provider Name: | NANCY JOHNSON LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 235365-1 |
Most Important Dates
| Enumeration Date: | 10/31/2013 |
| Last Updated: | 03/24/2017 |
Provider Practice Location
80 ROXBURY ST
APT 1C
STATEN ISLAND
NY
103031915
Practice Location Phone/Fax
| Phone: | 3479380884 |
| Fax: |
Provider Mailing Location
80 ROXBURY ST
APT 1C
STATEN ISLAND
NY
103031915
Provider Mailing Phone/Fax
| Phone: | 7186005239 |
| Fax: |