Individual
AMANDA C JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-4504
(539) 682-2522
(210) 916-0005
Mailing address
1524 BITTNER CT, DUPONT, WA 98327-9707
(419) 303-3541
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1047206
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61524425
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2021
Last updated
04/01/2024
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