Individual
LAURA ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
87464904405
UT
363LF0000X
Family Nurse Practitioner
Primary
8746490-4405
UT
Other
Enumeration date
04/11/2020
Last updated
02/25/2022
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