Renee Johnson, RN
Registered Nurse, General Practice in Fort Carson, CO. Individual provider (NPI-1).
NPI number1760635387
StatusActive
Last updated in NPPESJan 23, 2025
Details
- NPI
- 1760635387
- Entity type
- Individual (NPI-1)
- Name
- Renee Johnson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2008
- Certification date
- Jan 23, 2025
- Last updated
- Jan 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 0168271 | CO | Yes |
Practice location
6541 Specker AveFort Carson, CO 80913-4263
Phone 719-503-7905
Mailing address
174 Millstream TerColorado Springs, CO 80905-4430
Phone 719-466-0458
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