Individual
J. ELISE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-8950
(505) 272-1196
Mailing address
1650 UNIVERSITY BLVD NE, SUITE 116, ALBUQUERQUE, NM 87102-1726
(505) 272-8950
(505) 272-1196
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R45437
NM
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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