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Individual

EMILIE J JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
1478 EAST HIGHWAY 162, MONTEZUMA CREEK, UT 84534
(435) 678-0530
Mailing address
10754 S RIPPLING BAY, SOUTH JORDAN, UT 84009-5152
(801) 651-1645

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
280070-4405
UT

Other

Enumeration date
07/18/2022
Last updated
07/18/2022
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