IndividualActive
Amanda Johnson, PA-C
NPI 1679569024 · Surgical Physician Assistant · Madison, WI
Provider details
- NPI number
- 1679569024
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2394 (WI)
Mailing address
7974 Uw Health Ct
Middleton, WI 53562-5531
Registry dates
- Enumerated
- 2005-09-21
- Last updated
- 2026-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.