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NPI 1982011979 · live from the CMS NPI Registry

Amanda Johnson, APRN-CNP

Nurse Practitioner in Fargo, ND. National Provider Identifier 1982011979, active.

NPI record

NPI1982011979 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner 363L00000X
Practice location2701 13th Ave S, Fargo, ND 58103
Practice phone701-234-3620
Mailing addressPo Box 5074, Sioux Falls, SD 57117
EnumeratedJuly 22, 2014
Last updatedOctober 5, 2026
Sole proprietorNo
Other namesAmanda Halverson

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner primary363L00000XR34824 (ND)
Nurse Practitioner, Pediatrics363LP0200XR34824 (ND)
Registered Nurse163W00000XR34824 (ND)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.