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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.

Location: 1235 8Th St, Las Vegas, NM, 87701-2985
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Las Vegas
State
New Mexico
Zip
87701-4219
Phone Number
505-425-6788
Fax Number
person
Provider Business Mailing Address Details
Address
1235 8Th St
City
Las Vegas
State
New Mexico
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
363AM0700X
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
390200000X
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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