IndividualActive
Mayela Johnson
NPI 1194547588 · Gerontology Nurse Practitioner · Albuquerque, NM
Provider details
- NPI number
- 1194547588
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 81484 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10820 Comanche Rd Ne Ste a
Albuquerque, NM 87111-3983
Phone: (505) 508-4068
Approximate (ZIP-level) locationGet directions
Mailing address
10820 Comanche Rd Ne Ste a
Albuquerque, NM 87111-3983
Additional practice locations (1)
- 3111 Eubank Blvd Ne Ste BAlbuquerque, NM 87111-4875Phone: (505) 433-2186
Registry dates
- Enumerated
- 2024-10-28
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.