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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841303856 NPPES
Oregon MEDICAID 028169

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