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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA NYCOL JOHNSON, CPNP

Active

AMANDA NYCOL JOHNSON, CPNP is a Pediatric Nurse Practitioner healthcare provider located in ALBERTVILLE, Minnesota. NPI 1851060636 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · ALBERTVILLE, MN

Registration Details

NPI Number
1851060636
Provider Type
Individual
Gender
Female
NPI Issued
Sep 7, 2021 (4.9133102528948 yrs)
Last Updated
Oct 6, 2025
Licenses
8495 (MN)
8495 (MN)

Practice Information

Address
5703 LACHMAN AVE NE
ALBERTVILLE, MN, 553013973
Browse MN providers · Browse ZIP 55301
Phone
7632841877
Fax
7632055834
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.