Individual provider · Type 1 NPI

Wanda Johnston, PA-C

Medical Physician Assistant · Leavenworth, KS

NPI number 1285694216 Active

Practice location

4101 S 4th St
Leavenworth, KS 66048-5014

Mailing address

401 NW Heady Ave
Ferrelview, MO 64163-1413

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00405 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1285694216

Wanda Johnston, PA-C's National Provider Identifier is 1285694216, issued on Mar 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Leavenworth, KS. The record was last updated on Nov 4, 2007.