Individual
PERRINE JOHNSON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2773 ETIENNE WAY, SANDY, UT 84093-1116
(801) 273-1085
(801) 273-4097
Mailing address
PO BOX 307, BOUNTIFUL, UT 84011-0307
(888) 700-6907
(801) 294-6917
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2105664405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107029320101
INTERMOUNTAIN HEALTH CARE
UT
01
—
652558
DESERET MUTUAL
UT
01
—
942938348PA4
EDUCATORS MUTUAL
UT
Enumeration date
02/02/2006
Last updated
11/19/2007
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