Individual
MS. KATHRYN LEILA DRAKE JOHANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
920 ALDER AVE, #203, SUMNER, WA 98390-1401
(253) 826-0157
Mailing address
12916 86TH AVE E, PUYALLUP, WA 98373-5453
(253) 840-3593
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30007575
WA
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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