Individual
AMANDA BRODIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
11463 S FOOTHILLS BLVD, YUMA, AZ 85367-5701
(928) 955-0189
Mailing address
3629 S PLOWMAN DR, YUMA, AZ 85365-6721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN140175
AZ
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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