Individual
PERRINE JOHNSON ANDERSON
Active
Individual
PERRINE JOHNSON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
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
Update your record
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