Individual
RENEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6541 SPECKER AVE, FORT CARSON, CO 80913-4263
(719) 503-7905
Mailing address
174 MILLSTREAM TER, COLORADO SPRINGS, CO 80905-4430
(719) 466-0458
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
0168271
CO
Other
Enumeration date
10/28/2008
Last updated
01/23/2025
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