Grassham, Johanna Marie

Grassham, Johanna Marie is an individual health care provider with primary practice located at 1515 Eubank Blvd Se Bldg 832 , Albuquerque NM 87123-3453. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Diabetes Educator, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Grassham, Johanna Marie can be contacted via phone (505) 844-4237.

Contact Information

Primary practice address
1515 Eubank Blvd Se Bldg 832 Albuquerque NM 87123-3453
Phone: (505) 844-4237
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R49987 New Mexico
Nursing Service Providers / Diabetes Educator 163WD0400X 2091-0361 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 56889 New Mexico

Profile Details

NPI number 1033474580
LBN Legal business name Grassham, Johanna Marie
Credentials RN, CDE, BC-ADM, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2012
Last updated Jul 11th, 2019 - about 5 years 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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