DIANE JOHNSON

NEW LONDON, CT
NPI1316957285
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT  2409)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: CT  002409)
Enumeration Date2006-08-09
Last Update Date2021-12-07
Business Address
Ms. DIANE JOHNSON PMHNP (APRN)
365 MONTAUK AVE NORTHEAST MEDICAL GROUP, INC.
NEW LONDON, CT 06320-4700
Phone number: 860-442-0711
Mailing Address
Ms. DIANE JOHNSON PMHNP (APRN)
99 HAWLEY LN FL 3
STRATFORD, CT 06614-1202
Phone number: 860-442-0711