IndividualActive
Andrew Johnson, RN
NPI 1962190207 · Certified Registered Nurse Anesthetist · Sioux Falls, SD
Provider details
- NPI number
- 1962190207
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- R0117101 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
5001 W 41st St
Sioux Falls, SD 57106-1424
Phone: (605) 362-0100
Approximate (ZIP-level) locationGet directions
Mailing address
204 S 62nd St
Broken Arrow, OK 74014-6932
Registry dates
- Enumerated
- 2023-04-25
- Last updated
- 2024-11-01
- Certified
- 2024-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.