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Individual

ANDREA LYNNE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
111 10TH ST SW, WAVERLY, IA 50677-2925
(319) 352-1353
Mailing address
PO BOX 114, WAVERLY, IA 50677-0114
(319) 352-1353

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G161921
IA

Other

Enumeration date
01/15/2021
Last updated
01/15/2021
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