Individual provider · Type 1 NPI

Odette S. Johnson, APRN

Family Nurse Practitioner · Monroe, CT

NPI number 1376106971 Active

Practice location

324 Elm St Ste 202B
Monroe, CT 06468-2284

Mailing address

71 Atwater Ave
Derby, CT 06418-1409

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X8169 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1376106971

Odette S. Johnson, APRN's National Provider Identifier is 1376106971, issued on Apr 18, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Monroe, CT. The record was last updated on Apr 18, 2019.