Individual
LINDA K. JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 414-2727
(360) 414-2739
Mailing address
PO BOX 3002, LONGVIEW, WA 98632-0302
(360) 414-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00054937
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30004941
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140112
LABOR & IND.
WA
05
—
239007
—
OR
01
—
500015680
RR MEDICARE
—
01
—
8926645
CRIME VICTIMS
WA
01
—
9069JO
BLUE SHIELD
WA
05
—
9623851
—
WA
Enumeration date
06/23/2005
Last updated
05/15/2008
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