Individual
SANDRA LOWE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4254 S 2450 W, ROY, UT 84067-2053
(801) 388-8086
Mailing address
4254 S 2450 W, ROY, UT 84067-2053
(801) 388-8086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
7982504-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
7982504-8900
UT
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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