Individual
TINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5422
(303) 861-3693
Mailing address
8742 W 79TH AVE, ARVADA, CO 80005-4322
(720) 891-5076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0130465
CO
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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