Johnson, Mary Lynn

Johnson, Mary Lynn is an sole proprietor health care provider with primary practice located at 1505 48Th St , Boulder CO 80303-1143. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Home Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Johnson, Mary Lynn can be contacted via phone (303) 506-9439.

Contact Information

Primary practice address
1505 48Th St Boulder CO 80303-1143
Phone: (303) 506-9439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN.1002166-NP Colorado
Nursing Service Providers / Home Health 163WH0200X 0094898 Colorado

Profile Details

NPI number 1003493826
LBN Legal business name Johnson, Mary Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2021
Last updated Jul 14th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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