Individual
MI-AE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3080
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60801939
WA
Other
Enumeration date
11/03/2017
Last updated
05/17/2021
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