Johnson, Melissa Lowder
Johnson, Melissa Lowder is an sole proprietor health care provider with primary practice located at 167 E Olive Berry Ln , Draper UT 84020-6846. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Johnson, Melissa Lowder can be contacted via phone (801) 556-0695.Contact Information
Primary practice address
167 E Olive Berry Ln
Draper UT 84020-6846
Phone: (801) 556-0695
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 3083210-4405 | Utah |
Profile Details
| NPI number | 1770210767 |
|---|---|
| LBN Legal business name | Johnson, Melissa Lowder |
| Credentials | APRN DNP PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2022 |
| Last updated | Aug 1st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770210767 | NPPES |
| Utah | Other | 3083210-3102 | UTAH DOPL |
| Utah | Other | 3083210-4405 | UTAH DOPL |
| Utah | Other | 3083210-8900 | UTAH DOPL |
| Utah | Other | 2022012145 | UTAH DOPL |
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