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Individual
SHANA L JOHNSON
Active
Individual
SHANA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200141902RN
OR
163W00000X
Registered Nurse
RN00175004
WA
363L00000X
Nurse Practitioner
Primary
AP60052156
WA
363LW0102X
Women's Health Nurse Practitioner
200250004NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028169
—
OR
Enumeration date
08/16/2006
Last updated
02/01/2016
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