Organization
KATHRYN L DRAKE JOHANSEN ARNP, PLLC
Active
Other names
Kathryn L D Johansen ARNP, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN LEILA DRAKE JOHANSEN ARNP (PMHNP)
(253) 370-2737
Entity
Organization
Contact information
Practice address
920 ALDER AVE, SUITE 203, SUMNER, WA 98390-1401
(253) 826-0157
(253) 863-9415
Mailing address
12914 86TH AVE E, PUYALLUP, WA 98373-5453
(253) 826-0157
(253) 863-9415
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30007575
WA
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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