Individual provider · Type 1 NPI

Peder Johnsen, APRN

Family Nurse Practitioner · Middletown, CT

NPI number 1639791577 Active

Practice location

28 Crescent St
Middletown, CT 06457-3654

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X8775 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1639791577

Peder Johnsen, APRN's National Provider Identifier is 1639791577, issued on May 14, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Middletown, CT. The record was last updated on Feb 24, 2021.