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NPI Code Detail

MEDICARE: CYNTHIA JOHNSTON

MEDICARE:   CYNTHIA  JOHNSTON
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1447989884
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA JOHNSTON
Provider Business Mailing Address
First Line : 7943 QUAIL HEAVEN ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-4678
Country : US
Telephone Number : 801-592-3595
Fax Number :
Provider Business Practice Location Address
First Line : 6460 MEDICAL CENTER ST STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-2420
Country : US
Telephone Number : 702-888-1340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2022
Last Update Date : 10/11/2023

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Directions to “ CYNTHIA JOHNSTON ” Practice Location

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