Provider Demographics
NPI:1548426497
Name:JOHNSTON, MEAGAN MARIE (RN, NP-C)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:MARIE
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:RN, NP-C
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:MARIE
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:2555 E 13TH ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-5161
Mailing Address - Country:US
Mailing Address - Phone:970-820-6140
Mailing Address - Fax:
Practice Address - Street 1:2555 E 13TH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-5161
Practice Address - Country:US
Practice Address - Phone:970-461-6140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2021-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704248609163W00000X, 363LF0000X
CORN.0185334163WA0400X
COAPN.0990441-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)