IndividualActive
Diana Johnson, APRN
NPI 1336388032 · Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · Ivoryton, CT
Provider details
- NPI number
- 1336388032
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 002865 (CT)
Specialties & taxonomies
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistPrimary364SP0807XLicense 002865 (CT)
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2 Rachel Ln
Ivoryton, CT 06442-1154
Phone: (860) 304-0469
Approximate (ZIP-level) locationGet directions
Mailing address
2 Rachel Ln
Ivoryton, CT 06442-1154
Registry dates
- Enumerated
- 2009-02-19
- Last updated
- 2009-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.