Individual
SUSAN JOHANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20420 68TH AVE W, LYNNWOOD, WA 98036-7405
(425) 431-7000
(425) 431-7006
Mailing address
20420 68TH AVE W, LYNNWOOD, WA 98036-7405
(425) 431-7000
(425) 431-7006
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
00071525
WA
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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