National Provider Identifier

Kathleen Mary Johnson, FNP

Kathleen Mary Johnson, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 573-8974.

NPI 1013609452Buffalo, NYFamily Nurse Practitioner

Profile Overview

NPI
1013609452
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
May 24, 2023
Last Updated
October 13, 2023

Practice Location

  • 1001 Main St
  • Buffalo, NY 14203-1009

Phone: (716) 573-8974

Mailing Address

  • 1001 Main St Fl 3
  • Buffalo, NY 14203-1009

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1013609452
Entity Type
Individual
Last Name
Johnson
First Name
Kathleen
Middle Name
Mary
Name Prefix
Miss
Credential
FNP
Mailing Street Address
1001 Main St Fl 3
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1009
Mailing Country
US
Mailing Phone
(716) 573-8974
Practice Street Address
1001 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1009
Practice Country
US
Practice Phone
(716) 573-8974
Enumeration Date
May 24, 2023
Last Updated
October 13, 2023
Sex
Female
Sole Proprietor
No
Certification Date
October 13, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)