Individual
MRS. HEATHER MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
260 S KIPLING ST, LAKEWOOD, CO 80226-1086
(720) 388-5985
Mailing address
260 S KIPLING ST, LAKEWOOD, CO 80226-1086
(720) 388-5985
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1618856
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84-6000774
—
CO
Enumeration date
12/13/2012
Last updated
12/13/2012
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