Organization
DIANE JOHNSTON, PMHNP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE JOHNSTON PMHNP (OWNER)
(505) 365-2146
Entity
Organization
Contact information
Practice address
1619 VILLA STRADA, SANTA FE, NM 87506-4512
(505) 365-2146
Mailing address
1619 VILLA STRADA, SANTA FE, NM 87506-4512
(505) 365-2146
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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