Individual
GLENDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7853 AUTUMN GATE AVE, LAS VEGAS, NV 89131-8291
(702) 344-7731
Mailing address
7853 AUTUMN GATE AVE, LAS VEGAS, NV 89131-8291
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
821742
NV
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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