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General NPI Number Information
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NPI Number | 1063455418
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Entity Type | Individual
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Provider Name | MARCIA KAY MARONN JOHNSON CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 7690 W MASSEY DR
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City | LITTLETON
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State | CO
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Zip | 80128-6288
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Country | US
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Telephone | 970-389-2555
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Fax | 855-742-1239
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Provider Business Mailing Address
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Address Line | 7690 W MASSEY DR
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City | LITTLETON
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State | CO
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Zip | 80128-6288
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Country | US
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Telephone | 970-389-2555
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Fax | 855-742-1239
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 157592
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 109150
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | D095023
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License Number State | IA
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