# MAUREEN K JOHNSON, REGISTERED DIETITIAN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MKJRD, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760528293
- **Authorized official:** MAUREEN K JOHNSON M.S., R. D. (PRESIDENT CONSULTANT)
- **Authorized official phone:** (307) 745-4026

## Contact information

- **Practice address:** 2010 REYNOLDS ST, \#H280, LARAMIE, WY 82072-2481
- **Practice address phone:** (307) 745-4026
- **Practice address fax:** (307) 745-4026
- **Mailing address:** PO BOX 1800, LARAMIE, WY 82073-1800
- **Mailing address phone:** (307) 745-4026
- **Mailing address fax:** (307) 745-4026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | WY | — |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 09/11/2025