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NPI Code Detail

MEDICARE: AMBER JOHNSON RN

MEDICARE: AMBER JOHNSON RN
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
1163W00000XRegistered NurseRN.1656744CO

General Provider Information

NPI Number : 1174481014
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER JOHNSON RN
Provider Business Mailing Address
First Line : 217 TYLER ST
Second Line :
City : PUEBLO
State : CO
Zip : 81004-1519
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 W 16TH ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-2781
Country : US
Telephone Number : 719-584-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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