Individual
MRS. ERICA JOHNSON LYBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1201 N 175TH ST, SHORELINE, WA 98133-5064
(206) 401-3165
(206) 401-3201
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60320780
WA
367A00000X
Advanced Practice Midwife
AP60320780
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024198
—
WA
Enumeration date
11/19/2012
Last updated
02/25/2021
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