MEDICARE: JOHNNY ALEX TOLER

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
1	376K00000X	Nurse's Aide	CNA034060	NV
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1437760444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHNNY ALEX TOLER

Provider Business Mailing Address
First Line	:	562 TWILIGHT BLUE AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-8227
Country	:	US
Telephone Number	:	323-218-1535
Fax Number	:

Provider Business Practice Location Address
First Line	:	562 TWILIGHT BLUE AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-8227
Country	:	US
Telephone Number	:	323-218-1535
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2020
Last Update Date	:	08/13/2020

Similar Medicare Providers

1073868048 — TAMIKO HALE
Practice Location Address:

554 TWILIGHT BLUE AVE
NORTH LAS VEGAS, NV
89032-8227

Practice Phone: 702-403-5083
Practice Fax:

1548444946 — MUNAWAR A QURASHI MD LLC
Practice Location Address:

8227 COYADO ST
LAS VEGAS, NV
89123-4320

Practice Phone: 702-289-9042
Practice Fax: 702-966-8002

1558602821 — EMILY JUNE HALL L.A.D.C.
Practice Location Address:

3729 SMOKING GUN CT
LAS VEGAS, NV
89129-8227

Practice Phone: 702-689-1354
Practice Fax:

1811878861 — EPHESIANS 320 COUNSELING LLC
Practice Location Address:

8322 COVENTRY CT
NORTH CHARLESTON, SC
29420-8227

Practice Phone: 854-444-6428
Practice Fax:

1700747847 — AMANDA BRASILEIRO DE MORAES
Practice Location Address:

4040 N MARTIN LUTHER KING BLVD. STE A
NORTH LAS VEGAS, NV
89032

Practice Phone: 702-644-4673
Practice Fax:

1295684124 — LAKISHA MARCELLA
Practice Location Address:

3435 W CRAIG RD STE A
NORTH LAS VEGAS, NV
89032-5116

Practice Phone: 702-929-3297
Practice Fax:

Directions to “ JOHNNY ALEX TOLER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.