| NPI | 1356433635 |
|---|---|
| Former Name | KERI COLLEEN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200150143NP FNP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005966) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-07-29 |