Serina Johnson, - Licensed Practical Nurse in Edgewood, NM

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.

Contact Information

Serina Johnson,
104 Quail Trail, Unit B,
Edgewood, NM 87015
(505) 208-0204
Not Available



Provider's Profile

Full NameSerina Johnson
GenderFemale
SpecialityLicensed Practical Nurse
Location104 Quail Trail, Edgewood, New Mexico
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1295320489NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed 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 AddressPractice 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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Licensed Practical Nurse Nurses in Edgewood, NM


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