IndividualActive
Coretha Smith-Johnson, MASTER PUBLIC HEALTH
NPI 1528817004 · Nursing Home Administrator · Philadelphia, PA
Provider details
- NPI number
- 1528817004
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Credential
- MASTER PUBLIC HEALTH
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
6603 Souder St
Philadelphia, PA 19149-2207
Phone: (215) 280-0867
Approximate (ZIP-level) locationGet directions
Mailing address
6416 Lawnton Ave
Philadelphia, PA 19126-3742
Registry dates
- Enumerated
- 2024-05-16
- Last updated
- 2024-05-16
- Certified
- 2024-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.