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Contact Information

KARL A JOHNSON, FNP-C
1551 S SECOND ST
GALLUP, NM87301-5881
 Phone: 505-542-0090
 Fax: 505-542-0155
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KARL A JOHNSON · (Male)

NPI # 1730781451
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 11/09/2020
Last updated 12/31/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # 80531
  • TX License # 1093694
  • UT License # 11032336-4405
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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