Individual
BRIAN P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1151 GAYLORD ST APT 1, DENVER, CO 80206-3074
(352) 514-1611
Mailing address
1151 GAYLORD ST APT 1, DENVER, CO 80206-3074
(352) 514-1611
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X
X
—
Enumeration date
05/04/2021
Last updated
05/04/2021
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