Individual
ARLEN RALIEGH JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
616 6TH ST, BREMERTON, WA 98337-1420
(360) 478-2366
(360) 373-2096
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 478-2366
(360) 373-2096
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30000395
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9619255
—
WA
Enumeration date
12/13/2005
Last updated
07/08/2007
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