Individual
AMY M. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
#5 4TH AVE. E., POLSON, MT 59860
(406) 745-3525
(406) 745-3529
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
(406) 745-3529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
AP60763595
WA
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-100778
MT
364SF0001X
Family Health Clinical Nurse Specialist
NUR-APRN-LIC-100778
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386058345
—
WA
Enumeration date
06/18/2014
Last updated
05/01/2024
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