Johnson, Daphne

Johnson, Daphne is an individual health care provider with primary practice located at 883 Lead Ave Se Ste A, Albuquerque NM 87102-3644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Johnson, Daphne can be contacted via phone (505) 843-7131.

Contact Information

Primary practice address
883 Lead Ave Se Ste A Albuquerque NM 87102-3644
Phone: (505) 843-7131
Fax: (505) 246-9421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X R17002 New Mexico

Profile Details

NPI number 1477505196
LBN Legal business name Johnson, Daphne
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated May 14th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477505196 NPPES
New Mexico MEDICAID 69122

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