Individual
CALEB C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1912 W 930 N, PLEASANT GROVE, UT 84062-4104
(801) 492-1999
Mailing address
1912 W 930 N, PLEASANT GROVE, UT 84062-4104
(801) 361-7420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12608956-4405
UT
Other
Enumeration date
12/20/2023
Last updated
12/23/2023
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