National Provider Identifier

Tina Johnson

Tina Johnson is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 354-9554.

NPI 1043602022Rochester, NYRegistered Nurse

Profile Overview

NPI
1043602022
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
February 27, 2015
Last Updated
February 27, 2015

Practice Location

  • 1084 Glide St
  • Rochester, NY 14606-2751

Phone: (585) 354-9554

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1043602022
Entity Type
Individual
Last Name
Johnson
First Name
Tina
Mailing Street Address
1084 Glide St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14606-2751
Mailing Country
US
Mailing Phone
(585) 354-9554
Practice Street Address
1084 Glide St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14606-2751
Practice Country
US
Practice Phone
(585) 354-9554
Enumeration Date
February 27, 2015
Last Updated
February 27, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)