Individual provider · Type 1 NPI

Maryellen Johnson, CNM

Obstetrics & Gynecology Nurse Practitioner · Binghamton, NY

NPI number 1801815709 Active

Practice location

117 Hawley St
Binghamton, NY 13901-3903

Fax (607) 723-4087

Specialties and licenses

TaxonomyCodeLicense
Advanced Practice Midwife 367A00000XMW010128 (PA)
Advanced Practice Midwife 367A00000X203483-1 (NY)
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XF360105-1 (NY)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1801815709

Maryellen Johnson, CNM's National Provider Identifier is 1801815709, issued on Jul 19, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Binghamton, NY. The record was last updated on Feb 23, 2016.