Johnson, Carolyn R

Johnson, Carolyn R is an individual health care provider with primary practice located at 600 Orondo Ave Ste 1, Wenatchee WA 98801. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Carolyn R can be contacted via phone (509) 662-6000.

Contact Information

Primary practice address
600 Orondo Ave Ste 1 Wenatchee WA 98801
Phone: (509) 662-6000
Fax: (509) 664-4588
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AP30003181 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X RN00066360 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30003181 Washington

Profile Details

NPI number 1003897745
LBN Legal business name Johnson, Carolyn R
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Nov 18th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003897745 NPPES
Washington MEDICAID 9608605

Popular Providers