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Amanda Johnson
Family Nurse Practitioner in Lakeview, Oregon
NPI 1730801127

Amanda Johnson is a Family Nurse Practitioner based in Lakeview, OR and is specialized in Family. Amanda Johnson practices in Lakeview, OR. The NPI Number for Amanda Johnson is 1730801127 and holds a License No. 202211248NP-PP (Oregon).

The current practice location address for Amanda Johnson is 733 N 1St St, Lakeview, OR and can be reached out via phone at 541-600-2535.

Location: 733 N 1St St, Lakeview, OR, 97630-9165
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730801127
Provider Name
Amanda Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
733 N 1St St, Lakeview, OR, 97630-9165
Phone Number
541-600-2535
Fax Number
Provider Enumeration Date
09/13/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202211248NP-PP 01 OR NURSE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
733 N 1St St
City
Lakeview
State
Oregon
Zip
97630-1507
Phone Number
541-600-2535
Fax Number
person
Provider Business Mailing Address Details
Address
733 N 1St St
City
Lakeview
State
Oregon
Zip
97630-1507
Phone Number
541-600-2535
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
202211248NP-PP (Oregon)
Definition
Definition to come...
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