Individual provider · Type 1 NPI
Amanda Nycol Johnson, CPNP
Pediatric Nurse Practitioner · Albertville, MN
NPI number
1851060636
Active
Practice location
5703 Lachman Ave NE
Albertville, MN 55301-3973
Fax (763) 205-5834
Mailing address
1772 Stieger Lake Ln Ste 220
Victoria, MN 55386-7720
Other practice locations
- 1772 Stieger Lake Ln Ste 220, Victoria, MN 55386-7720 · (952) 443-4600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 8495 (MN) |
| Nurse Practitioner | 363L00000X | 8495 (MN) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1851060636
Amanda Nycol Johnson, CPNP's National Provider Identifier is 1851060636, issued on Sep 7, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Albertville, MN. The record was last updated on Oct 6, 2025.