ELYSSA MARIE JOHNSON

FRACKVILLE, PA
NPI1477804417
Former NameELYSSA MARIE NIEDDU
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA055747)
Enumeration Date2012-10-01
Last Update Date2020-08-17
Business Address
Mrs. ELYSSA MARIE JOHNSON PA-C
701 W OAK ST
FRACKVILLE, PA 17931-1672
Phone number: 570-874-4100
Mailing Address
Mrs. ELYSSA MARIE JOHNSON PA-C
100 N ACADEMY AVE CREDENTIAL DEPT
DANVILLE, PA 17822-4903
Phone number: 570-271-6144