National Provider Identifier

Natasha L. Johnson, RPA-C

Natasha L. Johnson, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (607) 661-5418.

NPI 1568777423Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1568777423
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
August 16, 2010
Last Updated
December 09, 2015

Practice Location

  • 126 Spanish Trl Apt F
  • Rochester, NY 14612-4613

Phone: (607) 661-5418

Mailing Address

  • 8510 Balboa Blvd Ste 150
  • Northridge, CA 91325-5810

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1568777423
Entity Type
Individual
Last Name
Johnson
First Name
Natasha
Middle Name
L.
Credential
RPA-C
Mailing Street Address
8510 Balboa Blvd Ste 150
Mailing City
Northridge
Mailing State
CA
Mailing ZIP Code
91325-5810
Mailing Country
US
Mailing Phone
(818) 637-2000
Mailing Fax
(818) 654-3417
Practice Street Address
126 Spanish Trl Apt F
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14612-4613
Practice Country
US
Practice Phone
(607) 661-5418
Enumeration Date
August 16, 2010
Last Updated
December 09, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)
Other Identifiers
03261218 (NY)