Healthcare Provider Details

I. General information

NPI: 1902727449
Provider Name (Legal Business Name): VELMA LOUSIE JOHNSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9089 E 14TH AVE APT 202
AURORA CO
80010-3048
US

IV. Provider business mailing address

9089 E 14TH AVE APT 202
AURORA CO
80010-3048
US

V. Phone/Fax

Practice location:
  • Phone: 720-809-3172
  • Fax:
Mailing address:
  • Phone: 720-809-3172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberA02102026-US80112
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: