Individual
JOANNA L CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6100
Mailing address
1326 MEARS DR, COLORADO SPRINGS, CO 80915-2118
(267) 265-2311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1658087
CO
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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