Individual
MRS. SUSANNE JANE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 693-3288
Mailing address
10059 LAKE SHORE BLVD NE, SEATTLE, WA 98125-8157
(206) 693-3288
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN00168047
WA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP30007632
WA
Other
Enumeration date
11/03/2006
Last updated
10/26/2007
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