Donnell Marie Johansen
Community Health Worker in Ephraim, UT. Individual provider (NPI-1).
NPI number1962967232
StatusActive
Last updated in NPPESSep 11, 2026
Details
- NPI
- 1962967232
- Entity type
- Individual (NPI-1)
- Name
- Donnell Marie Johansen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2019
- Certification date
- Sep 11, 2026
- Last updated
- Sep 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | UT | Yes |
| 226000000X | Recreational Therapist Assistant | – | – |
Practice location
152 N 400 WEphraim, UT 84627-5549
Phone 435-283-8400 · Fax 435-283-8401
Mailing address
152 N 400 WEphraim, UT 84627-5549
Phone 435-283-8400 · Fax 435-283-8401
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