Individual
DEBORAH A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, ARNP
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-9860
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-9860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60171781
WA
367A00000X
Advanced Practice Midwife
Primary
AP60171781
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3083830
—
MI
Enumeration date
08/08/2006
Last updated
02/23/2015
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