Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SERINA JOHNSON
ActiveSERINA JOHNSON is a Licensed Practical Nurse healthcare provider located in EDGEWOOD, New Mexico. NPI 1295320489 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · EDGEWOOD, NM
Registration Details
- NPI Number
- 1295320489
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 9, 2021 (5.4614743405068 yrs)
- Last Updated
- Mar 9, 2021
- License
-
PN.0045666 (CO)
Practice Information
- Address
-
104 QUAIL TRAILUNIT BEDGEWOOD, NM, 87015Browse NM providers · Browse ZIP 87015
- Phone
- 5052080204
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.