Johnson, Theresa Ann

Johnson, Theresa Ann is an individual health care provider with primary practice located at 1 Scouting Blvd. , Medford NY 11763. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Johnson, Theresa Ann can be contacted via phone (631) 297-3210.

Contact Information

Primary practice address
1 Scouting Blvd. Medford NY 11763
Phone: (631) 297-3210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 474328-1 New York

Profile Details

NPI number 1396020053
LBN Legal business name Johnson, Theresa Ann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2011
Last updated Oct 13th, 2011 - 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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