Provider Demographics
NPI:1578861407
Name:JOHNSON, SASHI-ANN NATALIE (LPN)
Entity Type:Individual
Prefix:MS
First Name:SASHI-ANN
Middle Name:NATALIE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 RITA LN
Mailing Address - Street 2:BELCHERTOWN
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9442
Mailing Address - Country:US
Mailing Address - Phone:413-544-4230
Mailing Address - Fax:
Practice Address - Street 1:23 RITA LN
Practice Address - Street 2:BELCHERTOWN
Practice Address - City:BELCHERTOWN
Practice Address - State:MA
Practice Address - Zip Code:01007-9442
Practice Address - Country:US
Practice Address - Phone:413-544-4230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303098-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse