| NPI | 1700125663 |
|---|---|
| Professional Name | MICHELLE LORRAINE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0990405) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CO 0062218) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2019-02-11 |