MRS. BONNIE L JOHNSON NP
NPI 1457524357
Nurse Practitioner - Adult Health in Rutland, VT
Active since April 11, 2008
About Mrs. Bonnie L Johnson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BONNIE L JOHNSON NP (NPI 1457524357) is an individual adult health provider in Rutland, Vermont, licensed in Vermont (1010034896) and active in the NPI registry since April 2008.
NPPES Registry Identity
NPI1457524357
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. BONNIE L JOHNSONCredential: NP
Location Address12 COMMONS ST STE 1Rutland, VT 05701-4651
Mailing Address12 Commons St Ste 1Rutland, VT 05701-4651 · (802) 770-1805 · Fax (802) 773-4876
Phone(802) 770-1805
Fax(802) 773-4876
Sole ProprietorNo
Enumeration DateApril 11, 2008
✔ NPI 1457524357 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in VT · 1010034896
12 COMMONS ST STE 1, Rutland, VT 05701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457524357, enumerated as an "individual" on April 11, 2008.
The provider is located at 12 COMMONS ST STE 1 RUTLAND, VT 05701 and the phone number is (802) 770-1805.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.