Individual provider · NPI-1

Brenda Ann Johnston, Brandi

Specialist/Technologist, Other · Las Cruces, NM

NPI number1609371913
StatusActive
Last updated in NPPESMar 28, 2018

Details

NPI
1609371913
Entity type
Individual (NPI-1)
Name
Brenda Ann Johnston
Credential
Brandi
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 28, 2018
Last updated
Mar 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246Z00000X Specialist/Technologist, Other––Yes
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic––
174H00000X Health Educator––
2472E0500X Technician, Other, EEG––

Other names

  • Brandi Lozada Johnston (Professional Name)

Practice location

3806 Yellowstone Dr
Las Cruces, NM 88011-9064

Phone 575-405-4142

Mailing address

3806 Yellowstone Dr
Las Cruces, NM 88011-9064

Phone 575-405-4142

Other practice locations

3806 Yellowstone Dr
Las Cruces, NM 88011-9064

Phone 575-405-4142

3806 Yellowstone Dr
Las Cruces, NM 88011-9064

Phone 575-405-4142

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