Individual
SANDRA BENSON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AANP
Contact information
Practice address
181 E MEDICAL TOWER DR, SALT LAKE CITY, UT 84107-4872
(801) 507-9090
(801) 507-9092
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
340799-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
340799-4405
UT
363LF0000X
Family Nurse Practitioner
340799-8900
UT
Other
Enumeration date
04/20/2020
Last updated
04/26/2022
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