Kathryn L Drake Johansen Arnp, PLLC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Sumner, WA

NPI 1336576396 · NPPES record last updated Oct 4, 2013

Key facts

NPI
1336576396
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
AP30007575 (WA)
Legal business name
KATHRYN L DRAKE JOHANSEN ARNP, PLLC
Practice address
920 Alder Ave
Suite 203
Sumner, WA 98390-1401
Phone
(253) 826-0157
Fax
(253) 863-9415
NPI assigned
Oct 4, 2013
Organization subpart
No

Authorized official

Name
Ms. Kathryn Leila Drake Johansen, ARNP
Title
Pmhnp
Phone
(253) 370-2737

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

920 Alder Ave
Ste 203
Sumner, WA 98390
Phone (253) 826-0157

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LP0808X AP30007575 WA Yes

Addresses

Primary practice location

920 Alder Ave
Suite 203
Sumner, WA 98390-1401

Mailing address

12914 86TH Ave E
Puyallup, WA 98373-5453
Phone (253) 826-0157

Other names

  • Kathryn L D Johansen ARNP, LLC Former legal business name

Other providers in Sumner, WA

All providers in Sumner, WA · Psychiatric/Mental Health Nurse Practitioner in Washington

Sources for this page

Verify at the official NPI Registry.