Individual
CHI-ANN DAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
1100 CARSON AVE, LA JUNTA, CO 81050-2751
(719) 384-5412
Mailing address
32525 COUNTY ROAD 33, LA JUNTA, CO 81050-9570
(719) 468-4379
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN.1649205
CO
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.1001339-NP
CO
Other
Enumeration date
10/06/2025
Last updated
11/10/2025
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