Individual
KATHERINE ROBERTA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP
Contact information
Practice address
2001 SOUTH SHIELDS, BUILDING G, FORT COLLINS, CO 80526
(970) 484-4871
(970) 482-4927
Mailing address
1225 LIVE OAK CT, FORT COLLINS, CO 80525-5569
(970) 232-9301
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
178967
CO
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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