Individual provider · Type 1 NPI

Nicole Marie Johnson, PA-C

Physician Assistant · Midvale, UT

NPI number 1033414248 Active

Practice location

7302 S Bingham Junction Blvd
Midvale, UT 84047-4804

Call (801) 442-5502 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X8975784-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1033414248

Nicole Marie Johnson, PA-C's National Provider Identifier is 1033414248, issued on Jan 19, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Midvale, UT. The record was last updated on Jun 23, 2020.