KATHRYN MANDELBAUM JOHNSON PA-C NPI 1205911328

NPI Information

NPI: 1205911328
Provider Name: KATHRYN MANDELBAUM JOHNSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2575 SPRUCE ST
BOULDER, CO
ZIP 80302
Phone: (303) 449-3594
Get Directions

Kathryn Mandelbaum Johnson, PA-C is a medical physician assistant in Boulder, CO. Kathryn Mandelbaum Johnson, PA-C NPI is 1205911328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2575 SPRUCE ST
BOULDER, CO
ZIP 80302-806
Phone: (303) 449-3594
Fax: (303) 449-3112

The enumeration date for this NPI number is 10/26/2006 and was last updated on 10/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	3470	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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