Johnson, Desiree
Johnson, Desiree is an individual health care provider with primary practice located at 3672 N Rancho Dr , Las Vegas NV 89130-3149. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Johnson, Desiree can be contacted via phone (702) 685-1600.Contact Information
Primary practice address
3672 N Rancho Dr
Las Vegas NV 89130-3149
Phone: (702) 685-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1295278497 |
|---|---|
| LBN Legal business name | Johnson, Desiree |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2016 |
| Last updated | Nov 21st, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295278497 | NPPES |
| Nevada | MEDICAID | NV20161075955 |
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