Individual provider · Type 1 NPI

Kaye Marie-Nicole Johnson

Licensed Practical Nurse · Tonawanda, NY

NPI number 1003604422 Active

Practice location

363 Delaware St
Tonawanda, NY 14150-3962

Call (716) 994-4745 Map

Mailing address

22 Poultney Ave
Buffalo, NY 14215-2230

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X348730 (NY)

Licensed Practical Nurse: 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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About NPI 1003604422

Kaye Marie-Nicole Johnson's National Provider Identifier is 1003604422, issued on Apr 26, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tonawanda, NY. The record was last updated on Apr 26, 2025.