National Provider Identifier Database

JOHANNA M GRASSHAM, RN, CDE, BC-ADM, CNP – NPI #1033474580
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

JOHANNA M GRASSHAM, RN, CDE, BC-ADM, CNP
1515 EUBANK BLVD SE BLDG 832
ALBUQUERQUE, NM87123-3453
Phone: 505-844-4237
Fax:
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
Diabetes Educator 163WD0400X
Registered Nurse 163W00000X

* Indicates primary specialty

NPI Profile & details for JOHANNA M GRASSHAM

NPI Number 1033474580
Credentials RN, CDE, BC-ADM, CNP
Entity Individual
Enumeration date 07/11/2012
Last updated 07/11/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 2091-0361
  • NM License #: 56889
  • NM License #: R49987
Hospital affiliation n/a

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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