Kathryn Elsie Johnson, CPNP | |
332 S Orchard Springs Dr Ste 150, Pueblo West, CO 81007-6154 | |
(719) 253-7640 | |
Not Available |
Full Name | Kathryn Elsie Johnson |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 332 S Orchard Springs Dr Ste 150, Pueblo West, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003260472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN.1634248 (Colorado) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | APN.0992326-NP (Colorado) | Primary |
Entity Name | Citizens Memorial Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374 |
Mailing Address | Practice Location Address |
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Kathryn Elsie Johnson, CPNP 332 S Orchard Springs Dr Ste 150, Pueblo West, CO 81007-6154 Ph: (719) 253-7640 | Kathryn Elsie Johnson, CPNP 332 S Orchard Springs Dr Ste 150, Pueblo West, CO 81007-6154 Ph: (719) 253-7640 |
Mrs. Amanda C Fadenrecht, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 S Purcell Blvd Ste 140, Pueblo West, CO 81007 Phone: 719-281-9587 Fax: 855-593-6512 | |
Jennifer L. Vanwinkle, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1538 W Camino De Los Ranchos, Pueblo West, CO 81007 Phone: 719-359-6257 | |
Sylvia Knop, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44 E. Spaulding Ave, Bldg 3, Ste 4, Pueblo West, CO 81007 Phone: 719-289-6002 | |
Mr. Preston Scott Heinen, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 S Purcell Blvd Ste 140, Pueblo West, CO 81007 Phone: 719-281-9587 | |
Dr. Debra Ann Carpenter, N.P.,D.C. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 267 S Joe Martinez Blvd, Pueblo West, CO 81007 Phone: 719-647-1043 Fax: 719-647-9287 | |
Jodi Ann Kurz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 577 E Hahns Peak Ave, Pueblo West, CO 81007 Phone: 970-403-6385 | |
Ms. Deborah Lynn Chase, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 E Dunlap Dr, Pueblo West, CO 81007 Phone: 719-547-5138 Fax: 719-547-4374 |