Individual provider · Type 1 NPI

Mary Calestine Johnson

Licensed Practical Nurse · Buffalo, NY

NPI number 1972184083 Active

Practice location

244 Hempstead Ave
Buffalo, NY 14215-3404

Mailing address

255 Delaware Ave Fl 4
Buffalo, NY 14202-2016

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X276119-1 (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 1972184083

Mary Calestine Johnson's National Provider Identifier is 1972184083, issued on Apr 20, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Buffalo, NY. The record was last updated on Apr 21, 2021.