Individual
AMY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1551 BRICE ST, WHEATLAND, WY 82201-3505
(307) 322-3861
Mailing address
3 LORETTA DR, WHEATLAND, WY 82201-8941
(307) 331-8153
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18605.1382
WY
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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