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Individual

MICHELLE DAWN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
6695 W RIO GRANDE AVE, KENNEWICK, WA 99336-3301
(509) 736-0826
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
753692
TX
367500000X
Certified Registered Nurse Anesthetist
753692
TX
367500000X
Certified Registered Nurse Anesthetist
AP118882
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61626468
WA

Other

Enumeration date
01/21/2010
Last updated
12/20/2024
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