Marc A. Johnson, PA-C
Physician Assistant · Monument, CO
UnclaimedPA-CNPI 1194769612
- Primary taxonomy
- 363A00000X
- Enumerated
- 2006-06-15
- Practice location
- Monument, CO
- Last NPPES update
- 2022-02-03
State licenses
- CO · Physician assistant · PAActivethrough 2028verify
- CO · Registered nurse · RNExpiredthrough 2013verify
- CO · Practical nurse · PNExpiredthrough 1994verify
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.