Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
167 E WASHINGTON ROW, SANDUSKY, OH 44870-2609
(419) 217-7635
(567) 214-4101
Mailing address
413 BRINKER ST, BELLEVUE, OH 44811-1508
(419) 217-1177
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN.370472
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740724988
—
OH
Enumeration date
12/07/2016
Last updated
02/13/2024
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