Individual
MRS. MARY ELSBETH JOHANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
505 S 336TH ST STE 500, FEDERAL WAY, WA 98003-8300
(206) 962-3535
Mailing address
2150 N 107TH ST STE 480, SEATTLE, WA 98133-9009
(206) 962-3532
(844) 529-8515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30003207
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346228301
—
WA
Enumeration date
01/09/2006
Last updated
10/29/2019
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