NPI 1285694216

Wanda Johnston, PAC

Practitioner Medical Physician Assistant Leavenworth, KS

Practice location

Address: 4101 S 4th St, Leavenworth, KS 66048-5014
Phone: (913) 758-9600
Mailing address: 401 NW Heady Ave, Ferrelview, MO 64163-1413

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA00405 (TX)

Other Physician Assistant providers in Kansas →

Registry record

NPI: 1285694216
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2006
Record last updated: 4 Nov 2007

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.