Individual
ANDREA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 ALPINE AVE, BOULDER, CO 80304-3406
(303) 949-3579
Mailing address
1735 S PUBLIC RD, LAFAYETTE, CO 80026-7093
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN1682460
CO
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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