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

Johnson Bonsrah

Individual provider Licensed Practical Nurse · NPI 1578399978

Johnson Bonsrah is a Licensed Practical Nurse in Worcester, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2024

Practice location Address checks out

39 Tyson Rd # 1
Worcester, MA 01606-1124
Phone: (774) 267-1244
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 LN99922 (MA)

Record details

NPI number1578399978
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 11, 2024
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing address39 Tyson Rd # 1, Worcester, MA 01606-1124

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