Provider Demographics
NPI:1841015534
Name:JOHNSON, VAQUESIA CHRISTINE (RN)
Entity type:Individual
Prefix:
First Name:VAQUESIA
Middle Name:CHRISTINE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 S WATER ST # 217
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-7301
Mailing Address - Country:US
Mailing Address - Phone:702-302-4840
Mailing Address - Fax:
Practice Address - Street 1:303 S WATER ST # 217
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-7301
Practice Address - Country:US
Practice Address - Phone:702-302-4840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-19
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA733527163WE0003X
NVRN68816163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency