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Amanda Millay Johnson

Registered Nurse in Woonsocket, RI. Individual provider (NPI-1).

NPI number1902492432
StatusActive
Last updated in NPPESDec 18, 2020

Details

NPI
1902492432
Entity type
Individual (NPI-1)
Name
Mrs. Amanda Millay Johnson
Sex
Female
Sole proprietor
No
Enumeration date
Dec 18, 2020
Certification date
Dec 18, 2020
Last updated
Dec 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse28231306AINYes

Practice location

1 Cvs Dr
Woonsocket, RI 02895-6146

Phone 317-586-1481

Mailing address

20 Blue Lace Dr
Whiteland, IN 46184-7022

Phone 317-586-1481

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