Individual provider · Type 1 NPI
Lisa Ann Johnson, FNP
Primary Care Nurse Practitioner · Corrales, NM
NPI number
1396840211
Active
Practice location
4940 Corrales Rd Ste 125
Corrales, NM 87048-8682
Other practice locations
- 1365 W 1000 N, Salt Lake City, UT 84116-1654 · (801) 328-5750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 368977-4405 (UT) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 54024 (NM) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1396840211
Lisa Ann Johnson, FNP's National Provider Identifier is 1396840211, issued on Sep 14, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Corrales, NM. The record was last updated on Nov 24, 2019.