| Doctor Name: | LAURA DARLENE JOHNSON |
| NPI Number: | 1144405622 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | CNP-07103 |
| Business Practice Address: | 481 Sandia Loop Bernalillo, NM - 870047076 |
| Business Phone Number: | 5057715116 |
| Business Fax Number: | 5057715127 |
| Mailing Address: | 9551 Paseo Del Norte Ne, ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871222975 |
| Phone Number: | 5058007050 |
| Fax Number: | |
| NPI Enumeration Date: | 01/03/2008 |
| NPI Last Update Date: | 08/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | CNP-07103 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |