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Individual

CASEY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0994881-NP
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0994881-NP
CO

Other

Enumeration date
02/06/2020
Last updated
04/29/2020
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