Johnsrud, David Lars Christian

Johnsrud, David Lars Christian is an individual health care provider with primary practice located at 1002 15Th St Sw Mailstop 1002-1-Tri, Auburn WA 98001-9841. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Ambulatory Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Johnsrud, David Lars Christian can be contacted via phone (520) 225-9785.

Contact Information

Primary practice address
1002 15Th St Sw Mailstop 1002-1-Tri Auburn WA 98001-9841
Phone: (520) 225-9785
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X 60607354 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RNP289863 Arizona

Profile Details

NPI number 1063152791
LBN Legal business name Johnsrud, David Lars Christian
Credentials BA, MAC, BSN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2022
Last updated Oct 16th, 2023 - about 3 years ago

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.

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