Provider Demographics
NPI:1134944408
Name:JOHNS, ALIANA RENEE (NP)
Entity type:Individual
Prefix:MRS
First Name:ALIANA
Middle Name:RENEE
Last Name:JOHNS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1482 CONRAD PL
Mailing Address - Street 2:
Mailing Address - City:SAN JACINTO
Mailing Address - State:CA
Mailing Address - Zip Code:92583-6096
Mailing Address - Country:US
Mailing Address - Phone:951-282-4708
Mailing Address - Fax:
Practice Address - Street 1:380 E PASEO EL MIRADOR
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4842
Practice Address - Country:US
Practice Address - Phone:760-323-6316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95033068363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care