National Provider Identifier
Kaye Marie-Nicole Johnson
Kaye Marie-Nicole Johnson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Tonawanda, NY and a listed phone number of (716) 994-4745.
Profile Overview
- NPI
- 1003604422
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 26, 2025
- Last Updated
- April 26, 2025
Practice Location
- 363 Delaware St
- Tonawanda, NY 14150-3962
Phone: (716) 994-4745
Mailing Address
- 22 Poultney Ave
- Buffalo, NY 14215-2230
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1003604422
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Kaye
- Middle Name
- Marie-Nicole
- Mailing Street Address
- 22 Poultney Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-2230
- Mailing Country
- US
- Mailing Phone
- (716) 994-4745
- Practice Street Address
- 363 Delaware St
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-3962
- Practice Country
- US
- Practice Phone
- (716) 994-4745
- Enumeration Date
- April 26, 2025
- Last Updated
- April 26, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 26, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)