Individual provider · Type 1 NPI

Angela Johnson

Licensed Practical Nurse · Bayshore, NY

NPI number 1154743342 Active

Practice location

27A Dowsing Avenue
Bayshore, NY 11706-6013

Mailing address

27A Dowsing Ave
Bay Shore, NY 11706-4118

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN072931 (GA)
Licensed Practical Nurse 164W00000X284163-1 (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 1154743342

Angela Johnson's National Provider Identifier is 1154743342, issued on Jan 8, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bayshore, NY. The record was last updated on Mar 25, 2014.