Individual
HEATHER A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
505 W 400 N, OREM, UT 84057-1950
(801) 714-3450
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 714-3443
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3616414402
UT
Other
Enumeration date
07/31/2006
Last updated
06/15/2010
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