Brandy Knudtson
Nurse Practitioner, Psych/Mental Health in Johnstown, CO. Individual provider (NPI-1).
NPI number1194124420
StatusActive
Last updated in NPPESJun 5, 2024
Details
- NPI
- 1194124420
- Entity type
- Individual (NPI-1)
- Name
- Brandy Knudtson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2014
- Certification date
- May 10, 2024
- Last updated
- Jun 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | APN.0998741-NP | CO | Yes |
| 163W00000X | Registered Nurse | 0200392 | CO |
Practice location
Po Box 854Johnstown, CO 80534-0854
Phone 970-578-9010 · Fax 970-578-9027
Mailing address
Po Box 854Johnstown, CO 80534-0854
Phone 970-578-9010
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