National Provider Identifier
Moenisha Johnson
Moenisha 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) 553-3550.
Profile Overview
- NPI
- 1538456876
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 07, 2011
- Last Updated
- July 07, 2011
Practice Location
- 1139 Walden Ave
- Buffalo, NY 14211-2729
Phone: (716) 553-3550
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1538456876
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Moenisha
- Mailing Street Address
- 1139 Walden Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14211-2729
- Mailing Country
- US
- Mailing Phone
- (716) 553-3550
- Practice Street Address
- 1139 Walden Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14211-2729
- Practice Country
- US
- Practice Phone
- (716) 553-3550
- Enumeration Date
- July 07, 2011
- Last Updated
- July 07, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)