Individual
TERESA JO EKDAHL-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
Mailing address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 736-3139
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61095075
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP61095075
WA ARNP LICENSE
—
Enumeration date
09/03/2020
Last updated
06/24/2025
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