Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Angelina Fawn Johnny

Individual provider Rehabilitation Practitioner · NPI 1619383387

MS. Angelina Fawn Johnny is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2

Practice location Address checks out

6889 S Eastern Ave
Las Vegas, NV 89119
Phone: (702) 434-1200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1619383387
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 2, 2014
Last updated in NPPESNovember 17, 2022
Certification dateNovember 17, 2022

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