Mallory M. Johansen

  • NPI 1457753626
According to our database, the NPI number for Mallory M. Johansen is 1457753626 and activated since 9 years ago. Mallory M. Johansen is an individual provider who specializes in Physician Assistant, and the primary practice location is 501 E. Hampden Ave., Englewood, CO 80113. You can also contact Mallory M. Johansen via telephone number is (303) 788-6911. Provider NPI information was last updated on 06/10/2015.

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Overview of Mallory M. Johansen

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 09/19/2014
  • Last updated: 06/10/2015

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA.0004112
  • License State: CO

Provider Mailing Address

  • Address: P.o. Box 173862
    Denver, CO 80217
  • Phone: 303-306-7783
  • Fax: 303-306-7753

Provider Practice Location

  • Address: 501 E. Hampden Ave.
    Englewood, CO 80113
  • Phone: 303-788-6911
  • Fax: 303-306-7753

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA.0004112
  • License State: CO
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 96028343
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CO
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mallory M. Johansen?
  • A: The npi number for Mallory M. Johansen is 1457753626.
  • Q: What are Mallory M. Johansen's specialties?
  • A: Mallory M. Johansen's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Mallory M. Johansen?
  • A: The medical license number for Mallory M. Johansen is PA.0004112 and issued in CO in USA.
  • Q: Where is Mallory M. Johansen practice location?
  • A: Mallory M. Johansen is practicing at 501 E. Hampden Ave., Englewood, CO 80113.
  • Q: How to contact Mallory M. Johansen?
  • A: You can contact Mallory M. Johansen via 303-788-6911.