Kathryn Elsie Johnson
Nurse Practitioner - Pediatrics
332 S Orchard Springs Dr Ste 150
Pueblo West
, Colorado 81007-6154
Kathryn Elsie Johnson
Nurse Practitioner - Pediatrics
332 S Orchard Springs Dr Ste 150
Pueblo West
, Colorado 81007-6154
(719) 253-7640
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Kathryn Elsie Johnson
- 332 S Orchard Springs Dr Ste 150
- Pueblo West, CO
- Zip : 81007-6154
- Phone : (719) 253-7640
Second Address
- Kathryn Elsie Johnson
- 332 S Orchard Springs Dr Ste 150
- Pueblo West, CO
- Zip : 81007-6154
- Phone : (719) 253-7640
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | APN.0992326-NP | CO |
National Provider Identifier
| NPI | 1003260472 |
|---|---|
| Provider Name | Kathryn Elsie Johnson |
| First Address | Pueblo West, CO 81007-6154 |
| Second Address | Pueblo West, CO 81007-6154 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/04/2016 |
| Last Update Date | 21/04/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.