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Contact Information

TATIANNA JOHNSON
1751 BELLAMAH AVE NW APT 2109
ALBUQUERQUE, NM87104-2226
 Phone: 512-522-9552
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for TATIANNA JOHNSON · (Female)

NPI Number 1659235729
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2025
Last updated 12/18/2025 - About 6 months ago
Sole proprietor 1 Yes
Identifiers
  • NM License # BCB-2025-1416
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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