Individual
CAREN SUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
712 W HOBBS ST, ROSWELL, NM 88203-3646
(505) 622-1309
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R11088
NM
Other
Enumeration date
09/29/2005
Last updated
01/08/2008
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