Individual provider · Type 1 NPI
Mayela Johnson
Gerontology Nurse Practitioner · Albuquerque, NM
NPI number
1194547588
Active
Practice location
10820 Comanche Rd NE Ste A
Albuquerque, NM 87111-3983
Other practice locations
- 3111 Eubank Blvd NE Ste B, Albuquerque, NM 87111-4875 · (505) 433-2186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 81484 (NM) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1194547588
Mayela Johnson's National Provider Identifier is 1194547588, issued on Oct 28, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Albuquerque, NM. The record was last updated on Oct 23, 2025.