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1477142289
ANDREA LYNNE JOHNSON
WAVERLY, IA
NPI
1477142289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IA G161921)
Enumeration Date
2021-01-15
Last Update Date
2021-01-15
Business Address
ANDREA LYNNE JOHNSON PMHNP-BC
111 10TH ST SW
WAVERLY, IA 50677-2925
Phone number: 319-352-1353
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Mailing Address
ANDREA LYNNE JOHNSON PMHNP-BC
PO BOX 114
WAVERLY, IA 50677-0114
Phone number: 319-352-1353
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