Heather Delaney Johnston, | |
267 Grant St, Bridgeport, CT 06610-2805 | |
(203) 384-3000 | |
Not Available |
Full Name | Heather Delaney Johnston |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 267 Grant St, Bridgeport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184397374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 702782 (New York) | Secondary |
163W00000X | Registered Nurse | 159580 (Connecticut) | Primary |
Entity Name | Yale University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
Mailing Address | Practice Location Address |
---|---|
Heather Delaney Johnston, 108 Bay Ave, Halesite, NY 11743-1208 Ph: (631) 487-5918 | Heather Delaney Johnston, 267 Grant St, Bridgeport, CT 06610-2805 Ph: (203) 384-3000 |
Kathryn Lohotsky Jaffer, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 | |
Mrs. Darcy Allison Dornbos, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-679-1953 | |
Sara L Landino Mahon, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 | |
Ms. Daisette C Brown, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 319 Valley Ave, Bridgeport, CT 06606 Phone: 203-892-4085 | |
Miss Evelet Amanda Green, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 584 Jennings Ave, Bridgeport, Bridgeport, CT 06610 Phone: 203-371-7652 Fax: 203-371-7652 | |
Dana Brunell Eisenberg, Registered Nurse Medicare: Medicare Enrolled Practice Location: 46 Albion St, Bridgeport, CT 06605 Phone: 203-330-6000 | |
Roseberthe Opont, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2900 Main St Apt 429, Bridgeport, CT 06606 Phone: 203-434-4604 |