person
Mr. David Lars Christian Johnsrud, BA,MAC,BSN
Psychiatric/Mental Health Nurse Practitioner in Auburn, Washington
NPI 1063152791

David Lars Christian Johnsrud is a Psychiatric/Mental Health Nurse Practitioner based in Tucson, WA and is specialized in Psychiatric/Mental Health. David Lars Christian Johnsrud practices in Auburn, WA and has the professional credentials of BA,MAC,BSN. The NPI Number for David Lars Christian Johnsrud is 1063152791 and holds a License No. 60607354 (Washington).

The current practice location address for David Lars Christian Johnsrud is 1002 15Th St Sw, Auburn, WA and can be reached out via phone at 520-225-9785.

Location: 1002 15Th St Sw, Auburn, WA, 85716-1011
person
Provider Profile Details
NPI Number
1063152791
Provider Name
David Lars Christian Johnsrud
Credential
BA,MAC,BSN
Provider Entity Type
Individual
Gender
Male
Address
1002 15Th St Sw, Auburn, WA, 85716-1011
Phone Number
520-225-9785
Fax Number
Provider Enumeration Date
03/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1002 15Th St Sw
City
State
Zip
98001-9841
Phone Number
520-225-9785
Fax Number
person
Provider Business Mailing Address Details
Address
1002 15Th St Sw
City
State
Zip
98001-9841
Phone Number
520-225-9785
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Ambulatory Care
Taxonomy
License No.
RNP289863 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
60607354 (Washington)
Definition
Definition to come...
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