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NPI 1104716059

IndividualActive

Aimee Johnson, LPN

NPI 1104716059 · Licensed Practical Nurse · Kelso, WA

Provider details

NPI number: 1104716059
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Credential: LPN
Sex: Female
Sole proprietor: Yes
License: LP61040781 (WA)

Practice location

305 Pacific Ave S Ste C

Kelso, WA 98626-1638

Phone: (360) 808-1916

Fax: (360) 808-1916

More WA providers

Mailing address

305 Pacific Ave S Ste C

Kelso, WA 98626-1638

Registry dates

Enumerated: 2025-07-03
Last updated: 2025-08-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Aimee Johnson, LPN — NPI 1104716059, Kelso, WA | NPI Central