Individual
ANDREA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
17720 JEAN WAY STE 100, LAKE OSWEGO, OR 97035-5575
(888) 209-0305
(952) 442-3688
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(888) 209-0305
(952) 442-3688
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 159670-4
MN
Other
Enumeration date
03/22/2006
Last updated
01/07/2020
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