Kathryn L D Johansen (NPI# 1609942283, PAC ID# 6507868056) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1609942283 |
| PAC ID by PECOS | 6507868056 |
| Professional Enrollment ID | I20070213000063 |
| Full Name | Kathryn L D Johansen |
| Address |
12914 86th Ave E Puyallup WA 98373-5453 |
| Phone Number | 2538260157 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12914 86th Ave E, Puyallup, WA 98373-5453 | 2538260157 |
| Street Address |
12914 86TH AVE E |
| City | PUYALLUP |
| State | WA |
| Zip | 98373-5453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Wagner | Chiropractic | 10324 Canyon Rd E, Suite 105, Puyallup, WA 98373-1013 | |
| Kevin E Sanders | Radiation Oncology | 2920 S Meridian, Puyallup, WA 98373-1428 | |
| Jeffrey S Newman | Dermatology | Puyallup Dermatology Clinic Inc P.s. | 2622 S Meridian, Puyallup, WA 98373-1500 |
| Jason L Meeker | Dermatology | Puyallup Dermatology Clinic Inc P.s. | 2622 S Meridian, Puyallup, WA 98373-1500 |
| Philip M Mclain | Dermatology | Puyallup Dermatology Clinic Inc P.s. | 2622 S Meridian, Puyallup, WA 98373-1500 |
| Thomas K Vaughan | Dermatology | Puyallup Dermatology Clinic Inc P.s. | 2622 S Meridian, Puyallup, WA 98373-1500 |
| Mark A Crowe | Dermatology | Puyallup Dermatology Clinic Inc P.s. | 2622 S Meridian, Puyallup, WA 98373-1500 |
| Frank J Door | Chiropractic | 2401 S Meridian, Puyallup, WA 98373-1553 | |
| Sarah R Coughlin | Nurse Practitioner | Northwest Medical Specialties Pllc | 2920 S Meridian, Suite 100, Puyallup, WA 98373-1654 |
| Kayla Freeman | Physical Medicine and Rehabilitation | Outpatient Physical Therapy and Sports Rehabilitation Inc PC | 2930 S Meridian, Suite 120, Puyallup, WA 98373-1654 |
| Find all physicians in zip 98373 | |||
| City | PUYALLUP |
| Zip Code | 98373 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PUYALLUP + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kathryn L D Johansen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.