Individual provider · Type 1 NPI
Catherine Bogan Johnson, NP
Nurse Practitioner · Salt Lake City, UT
Practice location
100 N Medical Dr
Salt Lake City, UT 84113-1103
Mailing address
PO Box 3208
Salt Lake City, UT 84110-3208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2199104405 (UT) |
| Pediatric Nurse Practitioner | 363LP0200X | 2199104405 (UT) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1952424129
Catherine Bogan Johnson, NP's National Provider Identifier is 1952424129, issued on Apr 10, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 11, 2025.