Individual provider · Type 1 NPI
Serina Johnson
Licensed Practical Nurse · Edgewood, NM
NPI number
1295320489
Active
Practice location
104 Quail Trail, Unit B
Edgewood, NM 87015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | PN.0045666 (CO) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4 other providers at this address
About NPI 1295320489
Serina Johnson's National Provider Identifier is 1295320489, issued on Mar 9, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Edgewood, NM. The record was last updated on Mar 9, 2021.