# ANDREW JOSEPH JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326255449
- **Gender:** Man
- **Credential:** CRNA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 129967 | IA | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | D129967 | IA | — |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 01/11/2024