Individual
TARALYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1790 N STATE ST, OREM, UT 84057-2025
(801) 224-8255
Mailing address
2765 N 930 E, PROVO, UT 84604-4376
(801) 664-4027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP09790
OH
363LP0200X
Pediatric Nurse Practitioner
NP09790
OH
Other
Enumeration date
04/25/2007
Last updated
05/17/2024
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