| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SUKHDEEP JOHAL | 1700221413 | 2024-09-07 |
Sukhdeep Johal is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1700221413. Registration indicates Sukhdeep Johal is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Dr. Sukhdeep Johal DNP, ARNP, FNP-C |
| Practice Office Address | 17887 REDMOND WAY REDMOND, WA US |
| Practice Office Telephone | 2065798905 |
| Mailing Address | 16253 NE 51ST ST REDMOND, WA 980525238 US |
| Business Telephone | 2065798905 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AP60411738
WA |