| Doctor Name: | FREIDA JOHNSON-ALLEN |
| NPI Number: | 1063697902 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 213057-4405 |
| Business Practice Address: | 4568 Highland Dr Suite 290 Slc, UT - 841174263 |
| Business Phone Number: | 8012746127 |
| Business Fax Number: | 8012746129 |
| Mailing Address: | 4568 S. Highland Dr., Suite 290 SLC |
| State: | UT |
| Postal Code: | 84117 |
| Phone Number: | 8012746127 |
| Fax Number: | 8012746129 |
| NPI Enumeration Date: | 01/09/2008 |
| NPI Last Update Date: | 01/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 213057-4405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |