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Aimee D Johnson, LPN

Licensed Practical Nurse in Kelso, WA. Individual provider (NPI-1).

NPI number1104716059
StatusActive
Last updated in NPPESAug 4, 2025

Details

NPI
1104716059
Entity type
Individual (NPI-1)
Name
Aimee D Johnson
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 3, 2025
Certification date
Aug 4, 2025
Last updated
Aug 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLP61040781WAYes

Practice location

305 Pacific Ave S Ste C
Kelso, WA 98626-1638

Phone 360-808-1916 · Fax 360-808-1916

Mailing address

305 Pacific Ave S Ste C
Kelso, WA 98626-1638

Phone 360-808-1916

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