Individual
KARL ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1551 S SECOND ST, GALLUP, NM 87301-5881
(505) 542-0090
(505) 542-0155
Mailing address
1551 S SECOND ST, GALLUP, NM 87301-5881
(505) 542-0090
(505) 542-0155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1093694
TX
363L00000X
Nurse Practitioner
11032336-4405
UT
363L00000X
Nurse Practitioner
Primary
80531
NM
Other
Enumeration date
11/09/2020
Last updated
12/31/2024
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