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Diane Decillis Johnston, APRN
Psychiatric/Mental Health Nurse Practitioner in Albuquerque, New Mexico
NPI 1972744654

Diane Decillis Johnston is a Psychiatric/Mental Health Nurse Practitioner based in Hartford, NM and is specialized in Psychiatric/Mental Health. Diane Decillis Johnston practices in Albuquerque, NM and has the professional credentials of APRN. The NPI Number for Diane Decillis Johnston is 1972744654 and holds a License No. CNP54774 (New Mexico).

The current practice location address for Diane Decillis Johnston is 933 Bradbury Dr Se Ste 2222, Albuquerque, NM and can be reached out via phone at 505-365-2146.

Location: 933 Bradbury Dr Se Ste 2222, Albuquerque, NM, 06112-1273
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Provider Profile Details
NPI Number
1972744654
Provider Name
Diane Decillis Johnston
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
933 Bradbury Dr Se Ste 2222, Albuquerque, NM, 06112-1273
Phone Number
505-365-2146
Fax Number
Provider Enumeration Date
03/10/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 CT
institution
Provider Business Practice Location Address Details
Address
933 Bradbury Dr Se Ste 2222
City
State
Zip
87106-4375
Phone Number
505-365-2146
Fax Number
person
Provider Business Mailing Address Details
Address
933 Bradbury Dr Se Ste 2222
City
State
Zip
87106-4375
Phone Number
505-365-2146
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
CNP54774 (New Mexico)
Definition
Definition to come...
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