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Individual

NICHOLAS PAUL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, ARNP

Contact information

Practice address
1950 NW MYHRE RD FL 3, SILVERDALE, WA 98383-7662
(564) 240-4200
(564) 240-4299
Mailing address
1950 NW MYHRE RD FL 3, SILVERDALE, WA 98383-7662
(564) 240-4200
(564) 240-4299

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61299581
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61299581
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2212432
WA
Enumeration date
07/03/2022
Last updated
03/27/2024
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