National Provider Identifier
Tracy Johnson, LPN
Tracy Johnson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 697-1966.
Profile Overview
- NPI
- 1588052419
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 30, 2014
- Last Updated
- December 30, 2014
Practice Location
- 85 Floss Ave
- Buffalo, NY 14211-1901
Phone: (716) 697-1966
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1588052419
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Tracy
- Name Prefix
- MS.
- Credential
- LPN
- Mailing Street Address
- 85 Floss Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14211-1901
- Mailing Country
- US
- Mailing Phone
- (716) 697-1966
- Practice Street Address
- 85 Floss Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14211-1901
- Practice Country
- US
- Practice Phone
- (716) 697-1966
- Enumeration Date
- December 30, 2014
- Last Updated
- December 30, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)