Edalyn Kay Johnson in Albuquerque - Nurse Practitioner

Edalyn Kay Johnson - NPI 1710935200

Edalyn Kay Johnson is a Nurse Practitioner in Albuquerque, New Mexico. Edalyn Kay Johnson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Edalyn Kay Johnson is 1710935200. The last update date is 2008-05-20.

Edalyn Kay Johnson's current location address is 4550 Eubank Blvd Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5052961120 and fax number 5052961121. The mailing address for Edalyn Kay Johnson is 4550 Eubank Blvd Ne, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Edalyn Kay Johnson
Address 4550 Eubank Blvd Ne, Albuquerque, New Mexico
Phone Number 5052961120
Fax Number 5052961121
Sole Proprietor N
Credentials CNP

NPI Number Detail

NPI Number 1710935200
Provider Enumeration Date 2006-05-05
Last Updated Date 2008-05-20

Provider Mailing Address Detail

Address 4550 Eubank Blvd Ne
City Albuquerque
State New Mexico (NM)
Post Code 871113479
Phone Number 5052961120
Fax Number 5052961121

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No R17788
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
743032990 NM TRIWEST

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FAQs about Edalyn Kay Johnson

What is the unique 10-digit identifier code assigned to Edalyn Kay Johnson by the Centers for Medicare & Medicaid Services?

The Edalyn Kay Johnson has been issued the NPI (National Provider Identifier) 1710935200 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Edalyn Kay Johnson's facilities are situated?

The facilities of Edalyn Kay Johnson are physically located at the following address: 4550 Eubank Blvd Ne, Albuquerque, NM, 871113479.

What is Edalyn Kay Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Edalyn Kay Johnson is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.

When did the Edalyn Kay Johnson receive its 1710935200?

The Edalyn Kay Johnson was issued its 1710935200 on 2006-05-05, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Edalyn Kay Johnson most recently updated or revised?

The information pertaining to Edalyn Kay Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-20.

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