Individual
ERICA LEILANI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14410 SE PETROVITSKY RD STE 104, RENTON, WA 98058-8900
(425) 690-3405
(425) 690-9405
Mailing address
14410 SE PETROVITSKY RD STE 104, RENTON, WA 98058-8900
(425) 690-3405
(425) 690-9405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61622541
WA
363LP2300X
Primary Care Nurse Practitioner
AP61622541
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2312007
—
WA
Enumeration date
11/05/2024
Last updated
10/31/2025
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