| Doctor Name: | CHARLOTTE B. JOHNSON |
| NPI Number: | 1124132733 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | RN101975 |
| Business Practice Address: | 1065 North Hildale St. Hildale, UT - 847840459 |
| Business Phone Number: | 4368742217 |
| Business Fax Number: | 4358747805 |
| Mailing Address: | 1065 North Hildale St., HILDALE |
| State: | UT |
| Postal Code: | 847840459 |
| Phone Number: | 4368742217 |
| Fax Number: | 4358747805 |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 02/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | RN101975 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |