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Search › Utah › 390200000X

Elise Johnson

NPI 1588485593 · on the registry since 2024 · sole proprietor

Practice

Address
589 S State St
Provo, UT 84606
Phone
(801) 855-0124
Fax
(801) 429-2001
Organisation at this address
Mountainlands Family Pharmacy
Mountainlands Community Health Center, Inc
Mountainlands Community Health Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Female
Record last updated
2024-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah