Organization
RENEWUDAYBYDAY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEALA JOHNSON (OWNER/PROVIDER)
(509) 273-5405
Entity
Organization
Contact information
Practice address
107 W ORCHARD AVE, SELAH, WA 98942-1329
(509) 273-5405
Mailing address
107 W ORCHARD AVE, SELAH, WA 98942-1329
(509) 273-5405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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