Individual
ELLEN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-2200
(360) 752-5683
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 738-2200
(360) 752-5683
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30003457
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230371
L&I AND CRIME VICTIMS
WA
05
—
1730187725
—
WA
01
—
38938
REGENCE
WA
01
—
5088629
AETNA
WA
05
—
9623869
—
WA
Enumeration date
07/13/2005
Last updated
11/19/2010
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