Elizabeth Johnson, LVN
Individual provider Active NPI Licensed Vocational Nurse · Woodside, CA
NPI 1831458025 · NPPES record last updated May 9, 2012
Key facts
- NPI
- 1831458025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- VN 262795 (CA)
- Practice address
- 5 Colton CT
Woodside, CA 94062-4042 - Phone
- (650) 366-7632
- NPI assigned
- May 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN 262795 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN 262795 | CA | Yes |
Addresses
Primary practice location
5 Colton CT
Woodside, CA 94062-4042
Mailing address
5319 S Faith Home Rd
Turlock, CA 95380-9358
Phone (408) 506-8124
Other providers in Woodside, CA
- Melanie Grubb
- Katie Sue Gump
- Svetlana Ishchenko
- Jeffery B Jones a Professional Corporation
- Can Jiang
- Jeffery B Jones
- Joseph a Zammuto
- Aarif Y. Khakoo
- Sara J Knight
- Saira Kothari
All providers in Woodside, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.