IndividualActive
Kaliyah Johnson, NA
NPI 1073408910 · Nurse's Aide · Myrtle Beach, SC
Provider details
- NPI number
- 1073408910
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- NA
- Sex
- Female
- Sole proprietor
- No
- License
- 10097321 (SC)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
124 Waterford Pointe Cir Unit 2206
Myrtle Beach, SC 29579-2708
Phone: (843) 360-0515
Approximate (ZIP-level) locationGet directions
Mailing address
124 Waterford Pointe Cir Unit 2206
Myrtle Beach, SC 29579-2708
Registry dates
- Enumerated
- 2025-06-11
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.