Individual
AMANDA-GRACE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1297 BOULDER CITY PKWY STE A, BOULDER CITY, NV 89005-1854
(702) 294-1919
(702) 294-0072
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
816524
NV
363LF0000X
Family Nurse Practitioner
Primary
816524
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790385136
—
NV
01
—
816524
STATE LICENSE
NV
Enumeration date
10/26/2020
Last updated
10/18/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us