Individual
MRS. STEPHANIE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Mailing address
37 DUKE ST, PUEBLO, CO 81005-1603
(719) 584-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.1000915-NP
CO
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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