Organization
RIP & SNORT HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVONNA ANNE JOHNSON FNP-C (PROVIDER/ADMINISTRATOR)
(520) 488-1756
Entity
Organization
Contact information
Practice address
110 SOLANO RD, PIE TOWN, NM 87827
(520) 488-1756
(888) 614-3881
Mailing address
PO BOX 781, PIE TOWN, NM 87827-0781
(520) 488-1756
(888) 614-3881
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92826555
—
NM
Enumeration date
07/12/2018
Last updated
11/15/2023
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