Individual
CHARLOTTE B. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1065 NORTH HILDALE ST., HILDALE, UT 84784-0459
(436) 874-2217
(435) 874-7805
Mailing address
1065 NORTH HILDALE ST., HILDALE, UT 84784-0459
(436) 874-2217
(435) 874-7805
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
186597-4405
UT
363LP0200X
Pediatric Nurse Practitioner
RN101975
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197617
AHCCCS
AZ
Enumeration date
08/19/2006
Last updated
02/05/2013
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