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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 Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Diabetes Educator

163WD0400X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JOHANNA M GRASSHAM · (Female)

NPI # 1033474580
Status Active
Credentials RN, CDE, BC-ADM, CNP
Entity Individual
Enumeration date 07/11/2012
Last updated 07/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 2091-0361
  • NM License # 56889
  • NM License # R49987
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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