Individual
STEPHANIE R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8201 164TH AVE NE STE 200, REDMOND, WA 98052-7615
(425) 818-5311
(425) 434-1755
Mailing address
8201 164TH AVE NE STE 200, REDMOND, WA 98052-7615
(425) 818-5311
(425) 434-1755
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP60474118
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60474118
WA
Other
Enumeration date
11/29/2011
Last updated
08/13/2021
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