Whalio Doctors

NPI 1003042367

Brandy Nicole Johnson, LPN

Practitioner Licensed Practical Nurse Central Square, NY

Practice location

Address
58 Bert Howard Dr, Central Square, NY 13036-2391
Phone
(315) 450-4577
Fax
(315) 668-1346

Registered specialties (2)

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 10 273949 (NY)
Licensed Practical Nurse
Nursing Service Providers Taxonomy 164W00000X Licence 033832 (CT)

Registry record

NPI
1003042367
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Jun 2009
Record last updated
1 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.