National Provider Identifier
Krista Fayre Johnson
Krista Fayre Johnson is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Romulus, NY and a listed phone number of (315) 585-6063.
Profile Overview
- NPI
- 1275737637
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- June 12, 2007
- Last Updated
- July 08, 2007
Practice Location
- 5783 E Lake RD
- Romulus, NY 14541-5002
Phone: (315) 585-6063
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1275737637
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Krista
- Middle Name
- Fayre
- Mailing Street Address
- 5783 E Lake RD
- Mailing City
- Romulus
- Mailing State
- NY
- Mailing ZIP Code
- 14541-5002
- Mailing Country
- US
- Practice Street Address
- 5783 E Lake RD
- Practice City
- Romulus
- Practice State
- NY
- Practice ZIP Code
- 14541-5002
- Practice Country
- US
- Practice Phone
- (315) 585-6063
- Enumeration Date
- June 12, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)