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Andrea Johnson
Licensed Practical Nurse in Medford, New York
NPI 1689305435

Andrea Johnson is a Licensed Practical Nurse based in Medford, NY. Andrea Johnson practices in Medford, NY. The NPI Number for Andrea Johnson is 1689305435 and holds a License No. 343504 (New York).

The current practice location address for Andrea Johnson is 1105 Lake Dr, Medford, NY and can be reached out via phone at 631-626-2537.

Location: 1105 Lake Dr, Medford, NY, 11763-4620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689305435
Provider Name
Andrea Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1105 Lake Dr, Medford, NY, 11763-4620
Phone Number
631-626-2537
Fax Number
Provider Enumeration Date
06/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1105 Lake Dr
City
Medford
State
New York
Zip
11763-4620
Phone Number
631-626-2537
Fax Number
person
Provider Business Mailing Address Details
Address
1105 Lake Dr
City
Medford
State
New York
Zip
11763-4620
Phone Number
631-626-2537
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
343504 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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