IndividualActive
Ishmael Johnson
NPI 1437833423 · Community Health Worker · Waterbury, CT
Provider details
- NPI number
- 1437833423
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
142 Griggs St
Waterbury, CT 06704-3110
Phone: (203) 574-1419
Approximate (ZIP-level) locationGet directions
Mailing address
141 E Main St
Waterbury, CT 06702-2310
Registry dates
- Enumerated
- 2023-06-12
- Last updated
- 2023-06-12
- Certified
- 2023-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.