Provider Demographics
NPI:1619720323
Name:JOHNSON, NORA (PMUA)
Entity Type:Individual
Prefix:MRS
First Name:NORA
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:PMUA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 TOPPER DR
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-7839
Mailing Address - Country:US
Mailing Address - Phone:206-931-4185
Mailing Address - Fax:
Practice Address - Street 1:119 N COMMERCIAL ST STE 440
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4447
Practice Address - Country:US
Practice Address - Phone:206-931-4185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty