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

Individual provider Licensed Vocational Nurse · NPI 1992154710

Mrs. Alza Theresa Johnson is a Licensed Vocational Nurse in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
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Practice location Address checks out

139 Clyde Ave
Syracuse, NY 13207
Phone: (315) 200-7203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 299068-1 (NY)

Record details

NPI number1992154710
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 13, 2016
Last updated in NPPESJune 13, 2016

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