JOHANNA LYNN PALMGREN NPI 1003001314
Registered Nurse (Administrator) in Gallup, NM
About JOHANNA PALMGREN
Johanna Palmgren is a provider established in Gallup, New Mexico and her medical specialization is registered nurse. The NPI number of Johanna Palmgren is 1003001314 and was assigned on September 2007. The practitioner's primary taxonomy code is 163WA2000X with license number RN16330 (MT). The provider is registered as an individual and her NPI record was last updated 5 years ago.
| NPI | 1003001314 |
| Provider Name | JOHANNA LYNN PALMGREN |
| Provider Location Address | 516 NIZHONI BLVD GALLUP, NM 87301 |
| Provider Mailing Address | PO BOX 1337 GALLUP, NM 87305 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 09-10-2007 |
| Last Update Date | 02-13-2015 |
Primary Taxonomy
| Taxonomy Code | 163WA2000X |
| 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
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 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
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
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.