Individual
MICHELLE DEON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
617 E RIVERSIDE DR STE 301, ST GEORGE, UT 84790-8722
(435) 216-7000
(435) 216-7001
Mailing address
617 E RIVERSIDE DR STE 301, ST GEORGE, UT 84790-8722
(435) 216-7000
(435) 216-7001
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
6819302-4405
UT
Other
Enumeration date
01/05/2024
Last updated
01/11/2024
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