Individual
MARY ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3524 AIRFIELD RD, FORT CARSON, CO 80913-4701
(719) 524-6627
(719) 524-6621
Mailing address
83 VALLEY VIEW DR, DIVIDE, CO 80814-9127
(719) 367-0241
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN0046296
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN0046296
DORA COLORADO
CO
Enumeration date
02/03/2021
Last updated
02/03/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us