Individual provider · Type 1 NPI

David Lars Christian Johnsrud, BA, MAC, BSN

Psychiatric/Mental Health Nurse Practitioner · Auburn, WA

NPI number 1063152791 Active

Practice location

1002 15th St SW, Mailstop 1002-1-TRI
Auburn, WA 98001-9841

Mailing address

3841 N Country Club Rd Unit 2
Tucson, AZ 85716-1011

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse 163WP2201X60607354 (WA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRNP289863 (AZ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1063152791

David Lars Christian Johnsrud, BA, MAC, BSN's National Provider Identifier is 1063152791, issued on Mar 30, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Auburn, WA. The record was last updated on Oct 16, 2023.