| Doctor Name: | KAREN JOHNSON |
| NPI Number: | 1104172444 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 102714 |
| Business Practice Address: | 391 Pomfret St Putnam, CT - 062601852 |
| Business Phone Number: | 8609634971 |
| Business Fax Number: | 8609634979 |
| Mailing Address: | 995 Day Hill Rd, WINDSOR |
| State: | CT |
| Postal Code: | 060951722 |
| Phone Number: | 8607315522 |
| Fax Number: | 8607315536 |
| NPI Enumeration Date: | 07/24/2012 |
| NPI Last Update Date: | 07/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA0400X |
| License Number: | 102714 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |