Individual
JOHNIE LYNN BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8340 SANGRE DE CRISTO RD STE 202, LITTLETON, CO 80127-4252
(970) 424-9793
(970) 788-7334
Mailing address
5695 INDIAN PAINT RUN, LITTLETON, CO 80125-9235
(970) 424-9793
(970) 788-7334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN164104
AZ
363LF0000X
Family Nurse Practitioner
Primary
0994288-NP
CO
363LF0000X
Family Nurse Practitioner
AP8497
AZ
363LF0000X
Family Nurse Practitioner
TAP8497
AZ
Other
Enumeration date
01/03/2013
Last updated
04/26/2022
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