Individual
VICKI L. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3000
Mailing address
325 9TH AVE, BOX 359802, SEATTLE, WA 98104-2499
(206) 744-3992
(206) 744-6281
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30004019
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30004019
WA
363LP0200X
Pediatric Nurse Practitioner
AP30004019
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0210979
L&I PIN
WA
01
—
53278U
REGENCE BLUE SHIELD PIN
WA
05
—
9649385
—
WA
Enumeration date
06/29/2006
Last updated
06/24/2011
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