Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johannah Renee Yazzie, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1164941621

Johannah Renee Yazzie, CPNP-PC is a Pediatric Nurse Practitioner in Santo Domingo Pueblo, New Mexico. Works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2017

Practice location Address checks out

85 W Highway 22
Santo Domingo Pueblo, NM 87052-1283
Phone: (505) 465-3060
Fax: (505) 591-0304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3630 Las Estancias Dr Sw, Albuquerque, NM 87121-5504 — (505) 555-5555

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence CNP-03377 (NM)

Record details

NPI number1164941621
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedSeptember 15, 2017
Last updated in NPPESOctober 18, 2024
Certification dateOctober 16, 2024

Other providers in Santo Domingo Pueblo