National Provider Identifier
Tawanda Johnson
Tawanda Johnson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 559-4215.
Profile Overview
- NPI
- 1316546963
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 23, 2020
- Last Updated
- October 23, 2020
Practice Location
- 333 S Division St
- Buffalo, NY 14204-1715
Phone: (716) 559-4215
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1316546963
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Tawanda
- Mailing Street Address
- 333 S Division St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14204-1715
- Mailing Country
- US
- Mailing Phone
- (716) 559-4215
- Practice Street Address
- 333 S Division St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14204-1715
- Practice Country
- US
- Practice Phone
- (716) 559-4215
- Enumeration Date
- October 23, 2020
- Last Updated
- October 23, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 23, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)