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Ms. Diane Johnson, PMHNP(APRN)
Acute Care Nurse Practitioner in New London, Connecticut
NPI 1316957285

Diane Johnson is an Acute Care Nurse Practitioner based in Stratford, CT and is specialized in Acute Care. Diane Johnson practices in New London, CT and has the professional credentials of PMHNP(APRN). The NPI Number for Diane Johnson is 1316957285 and holds a License No. 2409 (Connecticut).

The current practice location address for Diane Johnson is 365 Montauk Ave, New London, CT and can be reached out via phone at 860-442-0711 and via fax at 860-444-5114.

Location: 365 Montauk Ave, New London, CT, 06614-1202
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Provider Profile Details
NPI Number
1316957285
Provider Name
Diane Johnson
Credential
PMHNP(APRN)
Provider Entity Type
Individual
Gender
Female
Address
365 Montauk Ave, New London, CT, 06614-1202
Phone Number
860-442-0711
Fax Number
860-444-5114
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1316957285 05 CT
1316957285 05 RI
institution
Provider Business Practice Location Address Details
Address
365 Montauk Ave
City
State
Zip
06320-4700
Phone Number
860-442-0711
Fax Number
860-444-5114
person
Provider Business Mailing Address Details
Address
365 Montauk Ave
City
State
Zip
06320-4700
Phone Number
860-442-0711
Fax Number
860-444-5114
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
002409 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
2409 (Connecticut)
Definition
Definition to come...
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