Individual
CAROLYN LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Contact information
Practice address
106 PLAZA DR SE BLDG C1, YELM, WA 98597-8841
(253) 370-6987
(253) 248-0671
Mailing address
12238 KOEPPEN RD SE, RAINIER, WA 98576-9641
(253) 973-8744
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP61580533
WA
Other
Enumeration date
08/30/2019
Last updated
05/29/2025
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