Individual
LISA B. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3000
Mailing address
325 9TH AVE, BOX 359904, SEATTLE, WA 98104-2499
(206) 744-5867
(206) 744-8245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00131825
WA
363L00000X
Nurse Practitioner
AP30006605
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30006605
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201010
L&I PIN
WA
01
—
65752U
REGENCE BLUE SHIELD PIN
WA
05
—
9639907
—
WA
Enumeration date
07/07/2006
Last updated
06/24/2011
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