Provider Demographics
NPI:1598353666
Name:LANCASTER, JOHANNA (CNM, WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JOHANNA
Middle Name:
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:CNM, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 HEMPSTEAD PL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4829
Mailing Address - Country:US
Mailing Address - Phone:719-642-4663
Mailing Address - Fax:931-208-3626
Practice Address - Street 1:625 HEMPSTEAD PL
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4829
Practice Address - Country:US
Practice Address - Phone:719-642-4663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORXN.0109029-NP363LW0102X
UT14186839-4405363LW0102X
WY55493363LW0102X
MTAPRN-244100363LW0102X
FL11010730363LW0102X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife