| NPI | 1265716948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY D JOHNSON Practitioner 360-894-7556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60229317) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |