Individual
MANDY J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
166 E 5900 S, B-104, MURRAY, UT 84107-7257
(801) 265-1266
(801) 265-0755
Mailing address
166 EAST 5900 SOUTH, B-104, MURRAY, UT 84107-7257
(801) 265-1266
(801) 265-0755
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
362724-4405
UT
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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