Individual provider · Type 1 NPI

Edalyn Kay Johnson, CNP

Nurse Practitioner · Albuquerque, NM

NPI number 1710935200 Active

Practice location

4550 Eubank Blvd NE, Suite 105
Albuquerque, NM 87111-3479

Call (505) 296-1120 Map

Fax (505) 296-1121

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR17788 (NM)
Nurse Practitioner Primary 363L00000XR17788 (NM)

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1710935200

Edalyn Kay Johnson, CNP's National Provider Identifier is 1710935200, issued on May 5, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 29, 2026.