Individual provider · Type 1 NPI
Tialicka Burgos Johnson, WHNP-BC
Women's Health Nurse Practitioner · Holloman Afb, NM
NPI number
1891159463
Active
Practice location
49 Mdg, 280 David L Goldfein St
Holloman Afb, NM 88330-8273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 24176717 (VA) |
Women's Health Nurse Practitioner: Definition to come...
4 other providers at this address
- Cynthia Ann Lockrow, LCSWClinical Social Worker Holloman Afb, NM NPI 1427447499
- Kaitlyn M. Shaughnessy, DPTPhysical Therapist Holloman Afb, NM NPI 1255983417
- Regina Marie Ortega, ASWClinical Social Worker Holloman Afb, NM NPI 1750594644
- Zachary Michael Dreaden, DOGeneral Practice Physician Holloman Afb, NM NPI 1437596475
Other women's health nurse practitioner providers in Holloman Afb
About NPI 1891159463
Tialicka Burgos Johnson, WHNP-BC's National Provider Identifier is 1891159463, issued on Apr 11, 2016. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Holloman Afb, NM. The record was last updated on Jul 10, 2025.