Individual provider · NPI-1

Maureen Johnson, RDN

Dietitian, Registered · Broomfield, CO

NPI number1184576381
StatusActive
Last updated in NPPESFeb 18, 2026

Details

NPI
1184576381
Entity type
Individual (NPI-1)
Name
Maureen Johnson
Credential
RDN
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 10, 2026
Certification date
Feb 18, 2026
Last updated
Feb 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes
133N00000X Nutritionist––

Practice location

280 E 1st Ave
#2010
Broomfield, CO 80038

Phone 720-519-1001

Mailing address

280 E 1st Ave
#2010
Broomfield, CO 80038

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