Individual
STACEY M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
45553
KS
363LA2100X
Acute Care Nurse Practitioner
APN.0992611.NP
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0992611-NP
CO
Other
Enumeration date
10/26/2010
Last updated
12/02/2024
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