Individual
TANISHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4344 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
(702) 675-6314
(702) 476-9697
Mailing address
4344 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
(702) 675-6314
(702) 476-9697
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/25/2018
Last updated
08/04/2025
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