Katherine Rose Johansen, PA-C

NPI #1457895823 in Mc Lean, Virginia

Provider Information

NPI Number: 1457895823
Entity Type: Individual
Name: Katherine Rose Johansen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 5, 2016
Last Updated: Sep 29, 2025

Practice Location

Address: 1775 TYSONS BLVD STE 300
City: Mc Lean
State: Virginia
ZIP Code: 22102-4285
Phone: (888) 663-6331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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