person
Elizabeth Johnson
Medical Physician Assistant in Las Vegas, New Mexico
NPI 1902538051

Elizabeth Johnson is a Medical Physician Assistant based in Las Vegas, NM and is specialized in Medical. Elizabeth Johnson practices in Las Vegas, NM. The NPI Number for Elizabeth Johnson is 1902538051 and holds a License No. (New Mexico).

The current practice location address for Elizabeth Johnson is 1235 8Th St, Las Vegas, NM and can be reached out via phone at 505-425-6788. You can also correspond with Elizabeth Johnson through the mailing address at PO BOX 2985, LAS VEGAS, NM - 87701-2985 (mailing address contact number: 484-619-5088).

Location: 1235 8Th St, Las Vegas, NM, 87701-2985
person
Provider Profile Details
NPI Number
1902538051
Provider Name
Elizabeth Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1235 8Th St, Las Vegas, NM, 87701-2985
Phone Number
505-425-6788
Fax Number
Provider Enumeration Date
06/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1235 8Th St
City
State
Zip
87701-4219
Phone Number
505-425-6788
Fax Number
person
Provider Business Mailing Address Details
Address
1235 8Th St
City
State
Zip
87701-4219
Phone Number
505-425-6788
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA2023-0296 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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