Individual provider · Type 1 NPI

Angelina Fawn Johnny

Contractor · Las Vegas, NV

NPI number 1619383387 Active

Practice location

6889 South Eastern Avenue
Las Vegas, NV 89119

Mailing address

8367 Embry Hills St
Las Vegas, NV 89113-4602

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1619383387

Angelina Fawn Johnny's National Provider Identifier is 1619383387, issued on Jul 2, 2014. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Las Vegas, NV. The record was last updated on Nov 17, 2022.