Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS NICOLE MARIE JOHNSON, PA-C
Active Sole ProprietorMISS NICOLE MARIE JOHNSON, PA-C is a Physician Assistant healthcare provider located in MIDVALE, Utah. NPI 1033414248 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MIDVALE, UT
Registration Details
- NPI Number
- 1033414248
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2011 (15.565764130245 yrs)
- Last Updated
- Jun 23, 2020
- License
-
8975784-1206 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7302 S BINGHAM JUNCTION BLVDMIDVALE, UT, 840474804Browse UT providers · Browse ZIP 84047
- Phone
- 8014425502
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MIDVALE, UT
| Name | Credential | NPI |
|---|---|---|
| KERI L HOLYOAK | PA | 1578578357 |
| WENDY MARIE MACEY | PA | 1295825800 |
| LYNN DON FALKNER | PA | 1225128820 |
| MR. PATRICK BARDE LANG | PA-C | 1285794552 |
| MS. JANET L WILLIAMS | PA-C | 1477763613 |
| MR. MARK P PULVER | PA | 1205007093 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.