Melanie Johnson
Case Manager/Care Coordinator in Provo, UT. Individual provider (NPI-1).
NPI number1801301270
StatusActive
Last updated in NPPESAug 15, 2018
Details
- NPI
- 1801301270
- Entity type
- Individual (NPI-1)
- Name
- Melanie Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2017
- Last updated
- Aug 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 172V00000X | Community Health Worker | – | – |
Other names
- Melanie Whiting (Former Name)
Practice location
750 N Freedom BlvdProvo, UT 84601
Phone 801-373-4760 · Fax 801-373-0639
Mailing address
1726 Buckley LnProvo, UT 84606-5031
Phone 801-373-6562 · Fax 801-375-9225
Other practice locations
750 N Freedom Blvd
Provo, UT 84601-1677
Provo, UT 84601-1677
Phone 801-373-4760 · Fax 801-373-0639
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