National Provider Identifier

Diane Johnson

Diane Johnson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Olean, NY and a listed phone number of (716) 372-2106.

NPI 1104144005Olean, NYLicensed Practical Nurse

Profile Overview

NPI
1104144005
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 17, 2010
Last Updated
May 17, 2010

Practice Location

  • 1225 W State St
  • Olean, NY 14760-2135

Phone: (716) 372-2106

Mailing Address

  • 4134 Silver Springs RD
  • Silver Springs, NY 14550-9795

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1104144005
Entity Type
Individual
Last Name
Johnson
First Name
Diane
Mailing Street Address
4134 Silver Springs RD
Mailing City
Silver Springs
Mailing State
NY
Mailing ZIP Code
14550-9795
Mailing Country
US
Mailing Phone
(585) 786-8502
Practice Street Address
1225 W State St
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-2135
Practice Country
US
Practice Phone
(716) 372-2106
Enumeration Date
May 17, 2010
Last Updated
May 17, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)