Individual
LAURA DARLENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
481 SANDIA LOOP, BERNALILLO, NM 87004-7076
(505) 771-5116
(505) 771-5127
Mailing address
9551 PASEO DEL NORTE NE, ALBUQUERQUE, NM 87122-2975
(505) 800-7050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-07103
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81834748
—
NM
01
—
8HM967
MEDICARE
—
05
—
R859509
—
MS
Enumeration date
01/03/2008
Last updated
08/26/2014
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