MEDICARE: RHONDA L JOHNSTON PHD, CFNP, CANP, CNS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	68150	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164432845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA L JOHNSTON PHD, CFNP, CANP, CNS

Provider Business Mailing Address
First Line	:	6736 S QUANTOCK WAY
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-2487
Country	:	US
Telephone Number	:	303-324-1370
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 E MISSISSIPPI AVE
Second Line	:
City	:	GLENDALE
State	:	CO
Zip	:	80246-3048
Country	:	US
Telephone Number	:	303-372-7808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	03/29/2013

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