person
Johannah Renee Yazzie, CPNP-PC
Pediatric Nurse Practitioner in Santo Domingo Pueblo, New Mexico
NPI 1164941621

Johannah Renee Yazzie is a Pediatric Nurse Practitioner based in Santo Domingo Pueblo, NM and is specialized in Pediatrics. Johannah Renee Yazzie practices in Santo Domingo Pueblo, NM and has the professional credentials of CPNP-PC. The NPI Number for Johannah Renee Yazzie is 1164941621 and holds a License No. CNP-03377 (New Mexico).

The current practice location address for Johannah Renee Yazzie is 85 W Highway 22, Santo Domingo Pueblo, NM and can be reached out via phone at 505-465-3060 and via fax at 505-591-0304.

Location: 85 W Highway 22, Santo Domingo Pueblo, NM, 87052-0340
person
Provider Profile Details
NPI Number
1164941621
Provider Name
Johannah Renee Yazzie
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
85 W Highway 22, Santo Domingo Pueblo, NM, 87052-0340
Phone Number
505-465-3060
Fax Number
505-591-0304
Provider Enumeration Date
09/15/2017
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
85 W Highway 22
City
State
Zip
87052-1283
Phone Number
505-465-3060
Fax Number
505-591-0304
person
Provider Business Mailing Address Details
Address
85 W Highway 22
City
State
Zip
87052-1283
Phone Number
505-465-3060
Fax Number
505-591-0304
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
CNP-03377 (New Mexico)
Definition
Definition to come...
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