NPI 1740305697 · live from the CMS NPI Registry
Linda A. Johnson, RN
Registered Nurse, Diabetes Educator in Bangor, ME. National Provider Identifier 1740305697, active.
NPI record
| NPI | 1740305697 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 905 Union St, Suite 11, Bangor, ME 04401 |
| Practice phone | 207-973-7334 |
| Mailing address | 692 Cook Rd, Carmel, ME 04419 |
| Enumerated | March 20, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator primary | 163WD0400X | R046117 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.