IndividualActive
Johnnie Johnson-Moreno, LPN
NPI 1619790656 · Licensed Practical Nurse · Goodyear, AZ
Johnnie Johnson-Moreno, LPN is a Licensed Practical Nurse provider in Goodyear, AZ (NPI 1619790656).
Provider details
- NPI number
- 1619790656
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 245288 (AZ)
Practice location
325 S Wildflower Dr
Goodyear, AZ 85338-6869
Phone: (623) 772-5210
Fax: (623) 772-5220
Street-level locationGet directions
Mailing address
325 S Wildflower Dr
Goodyear, AZ 85338-6869
Registry dates
- Enumerated
- 2024-11-07
- Last updated
- 2024-11-07
- Certified
- 2024-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.