Individual
LINDA LEA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP, M.S.N.
Contact information
Practice address
2855 VALMONT RD, BOULDER, CO 80301-1309
(303) 440-9320
(303) 440-9320
Mailing address
2855 VALMONT RD, BOULDER, CO 80301-1309
(303) 440-9320
(303) 440-9320
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
74464
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32083076
—
CO
Enumeration date
07/07/2005
Last updated
06/15/2011
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