Individual
AMANDA KATE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1900 W OLNEY AVE, PHILADELPHIA, PA 19141-1108
(251) 951-1000
Mailing address
6158 WELLINGTON COMMONS DR, ALEXANDRIA, VA 22310-5305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024189832
VA
363L00000X
Nurse Practitioner
NP1043826
DC
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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