Johnson, Erica Leilani
Johnson, Erica Leilani is an individual health care provider with primary practice located at 14410 Se Petrovitsky Rd Ste 104 , Renton WA 98058-8900. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Erica Leilani can be contacted via phone (425) 690-3405.Contact Information
Primary practice address
14410 Se Petrovitsky Rd Ste 104
Renton WA 98058-8900
Phone: (425) 690-3405
Fax: (425) 690-9405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP61622541 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP61622541 | Washington |
Profile Details
| NPI number | 1689497901 |
|---|---|
| LBN Legal business name | Johnson, Erica Leilani |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2024 |
| Last updated | Oct 31st, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689497901 | NPPES |
| Washington | MEDICAID | 2312007 |
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