Individual
AMBER M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 502-6602
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13543
MN
363AM0700X
Medical Physician Assistant
PA9115764
FL
Other
Enumeration date
04/13/2020
Last updated
06/19/2025
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