Johnson, Mary Ann
Johnson, Mary Ann is an individual health care provider with primary practice located at 3524 Airfield Rd , Fort Carson CO 80913-4701. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Johnson, Mary Ann can be contacted via phone (719) 524-6627.Contact Information
Primary practice address
3524 Airfield Rd
Fort Carson CO 80913-4701
Phone: (719) 524-6627
Fax: (719) 524-6621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN0046296 | Colorado |
Profile Details
| NPI number | 1346832128 |
|---|---|
| LBN Legal business name | Johnson, Mary Ann |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2021 |
| Last updated | Feb 3rd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346832128 | NPPES |
| Colorado | Other | PN0046296 | DORA COLORADO |
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