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

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.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.