MEDICARE: BRITTANY EILEEN JOHNSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1477378388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY EILEEN JOHNSON

Provider Business Mailing Address
First Line	:	16 MALVERN ST
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14613-2536
Country	:	US
Telephone Number	:	585-498-9195
Fax Number	:

Provider Business Practice Location Address
First Line	:	16 MALVERN ST
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14613-2536
Country	:	US
Telephone Number	:	585-498-9195
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2024
Last Update Date	:	09/11/2025

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