National Provider Identifier
Tara Johnson, LPN
Tara Johnson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Wilson, NY and a listed phone number of (716) 946-8204.
Profile Overview
- NPI
- 1902101405
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 14, 2011
- Last Updated
- January 14, 2011
Practice Location
- 4850 Wilson Burt RD
- Wilson, NY 14172-9654
Phone: (716) 946-8204
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1902101405
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Tara
- Name Prefix
- Mrs.
- Credential
- LPN
- Provider Other Last Name
- Stahli
- Provider Other First Name
- Tara
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 4850 Wilson Burt RD
- Mailing City
- Wilson
- Mailing State
- NY
- Mailing ZIP Code
- 14172-9654
- Mailing Country
- US
- Mailing Phone
- (716) 946-8204
- Practice Street Address
- 4850 Wilson Burt RD
- Practice City
- Wilson
- Practice State
- NY
- Practice ZIP Code
- 14172-9654
- Practice Country
- US
- Practice Phone
- (716) 946-8204
- Enumeration Date
- January 14, 2011
- Last Updated
- January 14, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)