Individual
MS. CARA RACHEAL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8061 ALAMEDA AVE, EL PASO, TX 79915-4705
(915) 859-7545
(915) 859-9862
Mailing address
8061 ALAMEDA AVE, EL PASO, TX 79915-4705
(915) 859-7545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
721772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130880104
GROUP TPI
TX
01
—
1831267079
GROUP NPI
TX
01
—
451901
GROUP MEDICARE
TX
Enumeration date
12/28/2012
Last updated
01/16/2017
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