Doctor Name: | REBECCA N. JOHNSON |
NPI Number: | 1326107764 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 273358 |
Business Practice Address: | 3300 Running Creek Way Bldg B Lehi, UT - 840435563 |
Business Phone Number: | 8017664214 |
Business Fax Number: | 8014073052 |
Mailing Address: | 3300 Running Creek Way, Bldg B LEHI |
State: | UT |
Postal Code: | 840435563 |
Phone Number: | 8017664214 |
Fax Number: | 8014073052 |
NPI Enumeration Date: | 12/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 273358 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |