Individual
MICHAEL BYRON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
650 KOMAS DR, 208, SALT LAKE CITY, UT 84108-1215
(801) 585-1212
(801) 585-9096
Mailing address
248 LONDON RD, CENTERVILLE, UT 84014-1927
(801) 585-1212
(801) 585-9096
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2729194405
UT
Other
Enumeration date
02/26/2007
Last updated
10/21/2021
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