Johnson, Elaine Marie

Johnson, Elaine Marie is an individual health care provider with primary practice located at 17 Main Street Valley Regional Primary Care Physicians, Newport NH 03773. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Elaine Marie can be contacted via phone (603) 863-6400.

Contact Information

Primary practice address
17 Main Street Valley Regional Primary Care Physicians Newport NH 03773
Phone: (603) 863-6400
Fax: (603) 863-7800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 043163-23 New Hampshire

Profile Details

NPI number 1194796730
LBN Legal business name Johnson, Elaine Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Feb 22nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194796730 NPPES
Vermont MEDICAID ONP0714
Vermont MEDICAID 30347909

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