Individual
STACY NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
11651 W 64TH AVE, D-5, ARVADA, CO 80004-4323
(303) 425-5536
(303) 425-0769
Mailing address
11651 W 64TH AVE, D-5, ARVADA, CO 80004-4323
(303) 425-5536
(303) 425-0769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2719
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2719
LICENSE
CO
Enumeration date
01/23/2009
Last updated
11/28/2011
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