Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Johnson

Individual provider Licensed Practical Nurse · NPI 1689305435

Andrea Johnson is a Licensed Practical Nurse in Medford, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

1105 Lake Dr
Medford, NY 11763-4620
Phone: (631) 626-2537
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 343504 (NY)

Record details

NPI number1689305435
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2022
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022
Mailing address1105 Lake Dr, Medford, NY 11763-4620

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