National Provider Identifier

Michael Johnson, NP

Michael Johnson, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1780156331Buffalo, NYNurse Practitioner

Profile Overview

NPI
1780156331
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
December 20, 2018
Last Updated
January 19, 2021

Practice Location

  • Elm And Carlton Streets
  • Buffalo, NY 14263-0001

Phone: (716) 845-2300

Mailing Address

  • 89 Putnam St
  • Buffalo, NY 14213-1651

Specialties

  • Nurse Practitioner (363L00000X)
Full Record
NPI
1780156331
Entity Type
Individual
Last Name
Johnson
First Name
Michael
Credential
NP
Mailing Street Address
89 Putnam St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14213-1651
Mailing Country
US
Mailing Phone
(716) 866-0759
Practice Street Address
Elm And Carlton Streets
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263-0001
Practice Country
US
Practice Phone
(716) 845-2300
Enumeration Date
December 20, 2018
Last Updated
January 19, 2021
Sex
Male
Sole Proprietor
No
Certification Date
January 19, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X)
Other Identifiers
309020 (NY, Nys License)