MEDICARE: LATOYA TONI-ANN JOHNSON CRNP, PMHNP-BC

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	2084P0800X	Psychiatry Physician	SP035448	PA

General Provider Information

NPI Number	:	1962357129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATOYA TONI-ANN JOHNSON CRNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	365 MARSHALL HEIGHTS DR
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-7658
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	365 MARSHALL HEIGHTS DR
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-7658
Country	:	US
Telephone Number	:	347-670-8654
Fax Number	:

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

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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