Individual
MELANIE JOHNSTON HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7707
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 226-0832
Taxonomy
Speciality
Code
Description
License number
State
364SN0000X
Neonatal Clinical Nurse Specialist
Primary
4926543-4405
UT
Other
Enumeration date
05/26/2011
Last updated
01/11/2018
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