Ms Diana Ellen Johnson, APRN is a
Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent based in Ivoryton, Connecticut. Ms Diana Ellen Johnson is licensed to practice in Connecticut (license number 002865) and her current practice location is
2 Rachel Ln, Ivoryton, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 304-0469.
NPI number for Ms Diana Ellen Johnson is 1336388032 and her current mailing address is 2 Rachel Ln, Ivoryton, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336388032.
Provider's Profile
| Full Name | Ms Diana Ellen Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent |
|---|
| Location | 2 Rachel Ln, Ivoryton, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336388032
- Provider Enumeration Date: 02/19/2009
- Last Update Date: 02/19/2009
Medical Identifiers
Medical identifiers for Ms Diana Ellen Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336388032 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | 002865 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Diana Ellen Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Diana Ellen Johnson, APRN 2 Rachel Ln, Ivoryton, CT 06442-1154 Ph: (860) 304-0469 | Ms Diana Ellen Johnson, APRN 2 Rachel Ln, Ivoryton, CT 06442-1154 Ph: (860) 304-0469 |
Reviews and Comments