MRS. Tialicka Burgos Johnson, WHNP-BC
NPI #1891159463 in Holloman Afb, New Mexico
Provider Information
- NPI Number
- 1891159463
- Entity Type
- Individual
- Name
- MRS. Tialicka Burgos Johnson, WHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Women's Health
- Credential
- WHNP-BC
- Enumeration Date
- Apr 11, 2016
- Last Updated
- Jul 10, 2025
Practice Location
- Address
- 49 MDG
- Address 2
- 280 DAVID L GOLDFEIN ST
- City
- Holloman Afb
- State
- New Mexico
- ZIP Code
- 88330-8273
- Phone
- (575) 572-3069
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Women's Health — Women's Health |
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