Most Relevant Information
Provider Data
| NPI Number: | 1003391731 |
| Provider Name: | EMERY LEROY JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN274204 |
Most Important Dates
| Enumeration Date: | 09/28/2018 |
| Last Updated: | 09/28/2018 |
Provider Practice Location
3676 N HERMITAGE RD
TRANSFER
PA
161541852
Practice Location Phone/Fax
| Phone: | 3307260700 |
| Fax: |
Provider Mailing Location
136 FETSKO RD
WEST MIDDLESEX
PA
161592306
Provider Mailing Phone/Fax
| Phone: | 7248541435 |
| Fax: |