Search › Connecticut › 363A00000X
Susan Johnson, PA-C
NPI 1497888002 · on the registry since 2007 · sole proprietor
Practice
- Address
- 30 Hyde Ave Ste 109
Vernon, CT 06066 - Phone
- (860) 454-0303
- Fax
- (860) 875-4242
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut