Johnson, Sandra Renee
Johnson, Sandra Renee is an individual health care provider with primary practice located at Evergreen Public Schools 13501 Ne 28Th St., Vancouver WA 98682-8091. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Johnson, Sandra Renee can be contacted via phone (360) 604-6711.Contact Information
Primary practice address
Evergreen Public Schools 13501 Ne 28Th St.
Vancouver WA 98682-8091
Phone: (360) 604-6711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | 60211079 | Washington |
Profile Details
| NPI number | 1972064582 |
|---|---|
| LBN Legal business name | Johnson, Sandra Renee |
| Credentials | MSN, RN, NCSN, PHN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2019 |
| Last updated | Mar 27th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972064582 | NPPES |
| Washington | MEDICAID | 1245311141 |
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