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Amanda Johnson

NPI 1801147822 · on the registry since 2012

Practice

Address
2400 W 64th St
Minneapolis, MN 55423
Phone
(612) 708-8345
Fax
(612) 861-6050
Clinicians at this address
25

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota