Individual
MRS. CAMILLE ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
7301 JEFFERSON ST NE, SUITE G, ALBUQUERQUE, NM 87109-4355
(505) 225-4044
(505) 508-5284
Mailing address
7301 JEFFERSON ST NE, SUITE G, ALBUQUERQUE, NM 87109-4355
(505) 225-4044
(505) 508-5284
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP00782
NM
363LF0000X
Family Nurse Practitioner
R36488
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7001754
—
NM
Enumeration date
01/29/2007
Last updated
09/29/2014
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