Most Relevant Information
Provider Data
| NPI Number: | 1003260472 |
| Provider Name: | KATHRYN ELSIE JOHNSON CPNP |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN.1634248 |
Most Important Dates
| Enumeration Date: | 04/21/2016 |
| Last Updated: | 04/21/2016 |
Provider Practice Location
332 S ORCHARD SPRINGS DR STE 150
PUEBLO WEST
CO
810076154
Practice Location Phone/Fax
| Phone: | 7192537640 |
| Fax: |
Provider Mailing Location
332 S ORCHARD SPRINGS DR STE 150
PUEBLO WEST
CO
810076154
Provider Mailing Phone/Fax
| Phone: | 7192537640 |
| Fax: |