JOHANNA LYNN PALMGREN NPI 1003001314

Registered Nurse (Administrator) in Gallup, NM

About JOHANNA PALMGREN

Johanna Palmgren is a provider in Gallup, NM. The NPI number assigned to this provider is 1003001314. The practitioner's primary taxonomy code is Registered Nurse (163WA2000X). The provider is registered as an individual and their NPI record was last updated 4 years ago.

NPI	1003001314 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	JOHANNA LYNN PALMGREN
Provider Location Address	516 NIZHONI BLVD GALLUP, NM 87301 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	PO BOX 1337 GALLUP, NM 87305 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Gender	Female
NPI Entity Type	Individual Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?	No
Is Organization Subpart?	N/A What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date	09-10-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	02-13-2015 Last update date The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code	163WA2000X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Registered Nurse
Type	Nursing Service Providers
Specialization	Administrator
License No.	RN16330
License State	MT

Business Address

JOHANNA LYNN PALMGREN
516 NIZHONI BLVD
GALLUP, NM
ZIP 87301
Phone: (505) 722-1000
Fax: (505) 722-1310

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Mailing Address

JOHANNA LYNN PALMGREN
PO BOX 1337
GALLUP, NM
ZIP 87305
Phone: (505) 722-1000
Fax: (505) 722-1310

Other Providers at the same location

The following 20 providers are registered at the same or nearby location.

NPI	Name / Type	Taxonomy	Address
1093701096	TROY ANTHONY BERNARDO PHARMD Individual	Pharmacist	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1185
1124087770	JANET M LI-TEMPEST M.D. Individual	Pediatrics	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000
1205803590	DR. DAYNA MARIE DALAURO PHARMD Individual	Pharmacist	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1185
1336118371	MR. JAMES MURRAY HICKMAN PA-C Individual	Physician Assistant	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1253
1356348668	DR. EDWARD N. YALE PHC Individual	Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1185
1366432296	DR. MARK DEANE HOPKINS MD Individual	Specialist	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000
1396713699	MR. DOMINICK CHARLES ARETINO OTR Individual	Occupational Therapy Assistant	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000
1396741617	DR. PAUL DAVID OSTROVSKY M.D. Individual	Radiology (Diagnostic Radiology)	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1162
1437140845	MRS. CHITRA BHANDARI MD Individual	Psychiatry & Neurology (Geriatric Psychiatry)	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000
1528036639	MRS. BARBARA ANN WHISTON PT Individual	Physical Therapist	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000
1548238801	BRIAN DALE ELZA PT Individual	Physical Therapist	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000
1558330126	DR. JANET NEAVE ARROWSMITH MD Individual	Family Medicine	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1255
1578531968	DAWN CAPRI DINEYAZHE PT Individual	Physical Therapist	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000
1598734543	MRS. ASHLEY DAWN WATCHMAN PTA Individual	Physical Therapy Assistant	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000
1679572226	VICKY S CHAVEZ PHARMD Individual	Pharmacist (Pharmacotherapy)	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1185
1689670861	DR. MICHAEL DAVIS O.D. Individual	Optometrist	516 NIZHONI BLVD DEPARTMENT 18 GALLUP, NM 87301 (505) 722-1331
1699743328	DR. CATHERINE MARIE RADOVICH M.D. Individual	General Practice	516 NIZHONI BLVD GALLUP INDIAN MEDICAL CENTER GALLUP, NM 87301 (505) 722-1000
1760450878	MRS. JENNIFER CHRISTINA BEBO PT Individual	Physical Therapist	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000
1902805476	RAY HARRIS BRANSON PHARMD. RPH Individual	Pharmacist	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1185
1972562478	GILLIAN ELECTA MAIR MD Individual	Pediatrics	516 NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000

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