Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Alza Theresa Johnson

Individual provider Licensed Vocational Nurse · NPI 1992154710

Mrs. Alza Theresa Johnson is a Licensed Vocational Nurse in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

139 Clyde Ave
Syracuse, NY 13207 Not confirmed with CMS for 10 years — call before visiting
Phone: (315) 200-7203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 299068-1 (NY)

Record details

NPI number1992154710
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 13, 2016
Last updated in NPPESJune 13, 2016

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