Serina Johnson
Licensed Practical Nurse · Edgewood, NM
Practice location
104 Quail TrailUnit B
Edgewood, NM 87015
- Phone
- (505) 208-0204
NPI record
- NPI
- 1295320489
- Entity type
- Individual (Type 1)
- Enumeration date
- March 9, 2021
- Last updated
- March 9, 2021
- Certified
- March 9, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
PN.0045666 | CO |
About Serina Johnson
Serina Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 104 Quail Trail, Unit B, Edgewood, NM 87015. The NPI number 1295320489 was assigned on March 9, 2021 and the record was last updated on March 9, 2021.
Serina Johnson lists a license in the registry: #PN.0045666 (CO) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Serina Johnson?
The NPI number is 1295320489.
What is the phone number of Serina Johnson?
The phone number listed for the practice location is (505) 208-0204.
Where is Serina Johnson located?
104 Quail Trail, Unit B, Edgewood, NM 87015.
What is the taxonomy code for Serina Johnson?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.