Individual
JOHANNA M HADWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1140 M ST, GREELEY, CO 80631-9586
(970) 353-3900
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.0047692
CO
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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