NPI 1033416607

Andrea Marie Johnson, MARDCLT

Practitioner Registered Dietitian Missoula, MT

Practice location

Address: 825 W Kent Ave, Missoula, MT 59801-6619
Phone: (406) 370-5322
Mailing address: 1306 Linnea Ln, Missoula, MT 59801-3223

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 496 (MT)

Other Dietitian, Registered providers in Montana →

Registry record

NPI: 1033416607
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Feb 2011
Record last updated: 17 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.