Individual provider · Type 1 NPI
Diana Ellen Johnson, APRN
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · Ivoryton, CT
NPI number
1336388032
Active
Practice location
2 Rachel Ln
Ivoryton, CT 06442-1154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0807X | 002865 (CT) |
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
About NPI 1336388032
Diana Ellen Johnson, APRN's National Provider Identifier is 1336388032, issued on Feb 19, 2009. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist (364SP0807X), and the practice location is in Ivoryton, CT. The record was last updated on Feb 19, 2009.