Individual
DAVID K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4520 MONTGOMERY BLVD NE STE 6, ALBUQUERQUE, NM 87109-1291
(505) 308-3145
(505) 308-3147
Mailing address
4520 MONTGOMERY BLVD NE STE 6, ALBUQUERQUE, NM 87109-1291
(505) 308-3145
(505) 308-3147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
668015
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
0024184236
VA
367500000X
Certified Registered Nurse Anesthetist
AP128885
TX
367500000X
Certified Registered Nurse Anesthetist
CRNA-01467
NM
Other
Enumeration date
03/26/2015
Last updated
05/23/2024
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