Individual
AMY MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 W HIGHWAY 61, WINONA, MN 55987-1957
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5827
MN
363LA2100X
Acute Care Nurse Practitioner
Primary
5827
MN
363LW0102X
Women's Health Nurse Practitioner
379
AK
Other
Enumeration date
08/10/2014
Last updated
01/16/2024
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