Doctor Name: | MRS. SHIRLEY ANN JOHNSON |
NPI Number: | 1538131834 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNM |
License Number: | 122960 |
Business Practice Address: | 1650 Cochrane Cir Ft Carson, CO - 809134603 |
Business Phone Number: | 7195267172 |
Business Fax Number: | |
Mailing Address: | 15425 Holbein Dr, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809212518 |
Phone Number: | 7194810070 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0101X |
License Number: | 122960 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Women's Health Care, Ambulatory |
Taxonomy Definition: |