Individual
AMBER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 W LEOPOLD LOOP, WASILLA, AK 99623-9816
(907) 715-6305
Mailing address
6900 W LEOPOLD LOOP, WASILLA, AK 99623-9816
(907) 715-6305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
34521
AK
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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