NPI 1932509403
Functional Family Medicine
Practice location
- Address
- 7301 Jefferson St NE STE G, Albuquerque, NM 87109-4363
- Phone
- (505) 225-4044
- Fax
- (505) 508-5284
Authorised official
- Name
- Camille Johnson
- Title
- Owner
- Phone
- (505) 550-1183
Registered specialties
Family Health Clinical Nurse Specialist
Primary
Registry record
- NPI
- 1932509403
- Entity type
- Organization
- NPI issued
- 2 Sep 2014
- Record last updated
- 2 Sep 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.