Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY M. JOHANSEN
ActiveMALLORY M. JOHANSEN is a Physician Assistant healthcare provider located in ENGLEWOOD, Colorado. NPI 1457753626 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ENGLEWOOD, CO
Registration Details
- NPI Number
- 1457753626
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2014 (11.871599698878 yrs)
- Last Updated
- Jun 10, 2015
- License
-
PA.0004112 (CO)
Practice Information
- Address
-
501 E. HAMPDEN AVE.ENGLEWOOD, CO, 801132702Browse CO providers · Browse ZIP 80113
- Phone
- 3037886911
- Fax
- 3033067753
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ENGLEWOOD, CO
| Name | Credential | NPI |
|---|---|---|
| WILLIAM KIMBALL PETITT | PA-C | 1669463055 |
| ERIN E DEBOER | P.A. | 1205813656 |
| D. WAYNE MOORE | PA | 1528030244 |
| MRS. LAUREL MARIE NANKEY | P A | 1386693802 |
| MRS. AMBER S LONG | PA-C | 1902858095 |
| TIM R JOHNSON | PAC | 1841234515 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.