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Contact Information

JOHANNA L PALMGREN
516 NIZHONI BLVD
GALLUP, NM87301-5748
 Phone: 505-722-1000
 Fax: 505-722-1310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
Indicates primary specialty

NPI Profile & details for JOHANNA L PALMGREN · (Female)

NPI # 1003001314
Status Active
Credentials
Entity Individual
Enumeration date 09/10/2007
Last updated 02/13/2015 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MT License # RN16330
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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