Johnson, Shana L
Johnson, Shana L is an individual health care provider with primary practice located at 12303 Ne 130Th Ln Suite 225, Kirkland WA 98034-3099. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Shana L can be contacted via phone (425) 899-4012.Contact Information
Primary practice address
12303 Ne 130Th Ln Suite 225
Kirkland WA 98034-3099
Phone: (425) 899-4012
Fax: (425) 899-4013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 200141902RN | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 200250004NP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP60052156 | Washington |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN00175004 | Washington |
Profile Details
| NPI number | 1841303856 |
|---|---|
| LBN Legal business name | Johnson, Shana L |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Feb 1st, 2016 - about 8 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 | 1841303856 | NPPES |
| Oregon | MEDICAID | 028169 |
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