National Provider Identifier
Travara Johnson, LPN
Travara Johnson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Fairport, NY and a listed phone number of (585) 748-6889.
Profile Overview
- NPI
- 1093956112
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 19, 2009
- Last Updated
- March 19, 2009
Practice Location
- 30 Blackwatch Trl
- Apt.1
- Fairport, NY 14450-3771
Phone: (585) 748-6889
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1093956112
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Travara
- Credential
- LPN
- Mailing Street Address
- 30 Blackwatch Trl
- Mailing Address Line 2
- Apt.1
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-3771
- Mailing Country
- US
- Mailing Phone
- (585) 748-6889
- Practice Street Address
- 30 Blackwatch Trl
- Practice Address Line 2
- Apt.1
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-3771
- Practice Country
- US
- Practice Phone
- (585) 748-6889
- Enumeration Date
- March 19, 2009
- Last Updated
- March 19, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)