Individual
MRS. ANDREA CHRISTINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10 EAST 31ST STREET, KEARNEY, NE 68847
(308) 865-7997
Mailing address
8055 O STREET, SUITE 300, LINCOLN, NE 68510
(402) 421-8096
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1389
NE
Other
Enumeration date
07/09/2008
Last updated
04/01/2011
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