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Individual

DAPHNE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
883 LEAD AVE SE, STE A, ALBUQUERQUE, NM 87102-3644
(505) 843-7131
(505) 246-9421
Mailing address
883 LEAD AVE SE, STE A, ALBUQUERQUE, NM 87102-3644
(505) 843-7131
(505) 246-9421

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R17002
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
69122
NM
Enumeration date
05/17/2006
Last updated
05/14/2008
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