Individual
SANDY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1450 5TH ST SE STE 1100, PUYALLUP, WA 98372-4682
(253) 572-7320
Mailing address
1450 5TH ST SE STE 1100, PUYALLUP, WA 98372-4682
(253) 572-7320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61289177
WA
Other
Enumeration date
07/30/2019
Last updated
11/06/2024
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