OrganizationActive
Functional Family Medicine
NPI 1932509403 · Family Health Clinical Nurse Specialist · Albuquerque, NM
Provider details
- NPI number
- 1932509403
- Entity type
- Organization
- Primary specialty
- Family Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Camille Johnson, Owner
Practice location
7301 Jefferson St Ne Ste G
Albuquerque, NM 87109-4363
Phone: (505) 225-4044
Fax: (505) 508-5284
Mailing address
7301 Jefferson St Ne Ste G
Albuquerque, NM 87109-4363
Registry dates
- Enumerated
- 2014-09-02
- Last updated
- 2014-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.