Individual
AMANDA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
7424 BRIDGEPORT WAY W, LAKEWOOD, WA 98499-8120
(253) 240-2110
(253) 240-2111
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 681-6626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61399537
WA
Other
Enumeration date
02/28/2023
Last updated
08/09/2024
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