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NPI Code Detail

MEDICARE: ALANAI JOHNSON RN

MEDICARE: ALANAI JOHNSON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse56980-AO-1NV

General Provider Information

NPI Number : 1245995463
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALANAI JOHNSON RN
Provider Business Mailing Address
First Line : 1001 GREENWAY DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-1355
Country : US
Telephone Number : 702-610-2185
Fax Number :
Provider Business Practice Location Address
First Line : 1706 W BONANZA RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4704
Country : US
Telephone Number : 702-631-6860
Fax Number : 702-631-6864
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2021
Last Update Date : 11/02/2021

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