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NPI Code Detail

MEDICARE: CAMERON TYLER JOHNSON

MEDICARE: CAMERON TYLER JOHNSON
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1639028111
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMERON TYLER JOHNSON
Provider Business Mailing Address
First Line : 3301 N BUFFALO DR STE 180
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-7449
Country : US
Telephone Number : 702-932-3500
Fax Number :
Provider Business Practice Location Address
First Line : 3301 N BUFFALO DR STE 180
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-7449
Country : US
Telephone Number : 702-932-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2026
Last Update Date : 01/27/2026

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Directions to “ CAMERON TYLER JOHNSON ” Practice Location

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