Individual
HEATHER ELIZABETH MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
918 PINEHURST RD SE, RIO RANCHO, NM 87124-2568
(505) 404-9555
Mailing address
918 PINEHURST RD SE STE 102, RIO RANCHO, NM 87124-2568
(505) 404-9555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
63068
NM
Other
Enumeration date
03/17/2021
Last updated
01/25/2022
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