NPI 1295447878
Susan Johnson
Practice location
- Address
- 7412 Walker Ave, Gloucester, VA 23061-6131
- Phone
- (804) 832-8682
- Mailing address
- 3703 Woodstock Rd, Gloucester, VA 23061-3032
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1295447878
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Dec 2022
- Record last updated
- 15 Dec 2022
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.