Individual provider · Type 1 NPI
Mary Lynn Johnson
Psychiatric/Mental Health Nurse Practitioner · Boulder, CO
NPI number
1003493826
Active
Practice location
1505 48th St
Boulder, CO 80303-1143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APN.1002166-NP (CO) |
| Home Health Registered Nurse | 163WH0200X | 0094898 (CO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1003493826
Mary Lynn Johnson's National Provider Identifier is 1003493826, issued on Mar 26, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Boulder, CO. The record was last updated on Jul 14, 2026.