Serina Johnson, is a
Licensed Practical Nurse based in Edgewood, New Mexico. Serina Johnson is licensed to practice in Colorado (license number PN.0045666) and her current practice location is
104 Quail Trail, Unit B, Edgewood, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 208-0204.
NPI number for Serina Johnson is 1295320489 and her current mailing address is 104 Quail Trail, Unit B, Edgewood, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295320489.
Provider's Profile
Full Name | Serina Johnson |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 104 Quail Trail, Edgewood, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295320489
- Provider Enumeration Date: 03/09/2021
- Last Update Date: 03/09/2021
Medical Identifiers
Medical identifiers for Serina Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295320489 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN.0045666 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Serina Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Serina Johnson, 104 Quail Trail, Unit B, Edgewood, NM 87015 Ph: (505) 208-0204 | Serina Johnson, 104 Quail Trail, Unit B, Edgewood, NM 87015 Ph: (505) 208-0204 |
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