Henderson, Melanie Johnston

Henderson, Melanie Johnston is an individual health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Henderson, Melanie Johnston can be contacted via phone (801) 357-7707.

Contact Information

Primary practice address
1034 N 500 W Provo UT 84604-3380
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 364SN0000X 4926543-4405 Utah

Profile Details

NPI number 1285927079
LBN Legal business name Henderson, Melanie Johnston
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2011
Last updated Jan 11th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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