Healthcare Provider Details

I. General information

NPI: 1154956720
Provider Name (Legal Business Name): ARLENE JOHNSON DNP, CNM, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ARLENE AMADOR

II. Dates (important events)

Enumeration Date: 03/04/2020
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9040 JACKSON AVE
TACOMA WA
98431-0001
US

IV. Provider business mailing address

34503 9TH AVE S STE 330
FEDERAL WAY WA
98003-8726
US

V. Phone/Fax

Practice location:
  • Phone: 253-968-2252
  • Fax:
Mailing address:
  • Phone: 253-835-8850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP61163082
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number60192159
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: