National Provider Identifier
Abigail Ruth Johanson, NP
Abigail Ruth Johanson, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-7424.
Profile Overview
- NPI
- 1710612544
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- July 16, 2022
- Last Updated
- July 24, 2023
Practice Location
- 601 Elmwood Ave Fl 5
- Rochester, NY 14642-0001
Phone: (585) 275-7424
Mailing Address
- 601 Elmwood Avenue Box 696
- Rochester, NY 14642-0001
Specialties
- Nurse Practitioner (363L00000X)
- Internal Medicine Physician (207R00000X)
Endpoints
- ajohanson92831@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1710612544
- Entity Type
- Individual
- Last Name
- Johanson
- First Name
- Abigail
- Middle Name
- Ruth
- Credential
- NP
- Mailing Street Address
- 601 Elmwood Avenue Box 696
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave Fl 5
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-7424
- Enumeration Date
- July 16, 2022
- Last Updated
- July 24, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 16, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X), Internal Medicine Physician (207R00000X)