NPI 1447416516

Johanna Hendrickson, PAC

Practitioner Physician Assistant Heber City, UT

Practice location

Address: 454 E Medical Way, Heber City, UT 84032-1391
Phone: (435) 657-4400
Mailing address: 220 Campus Blvd STE 100, Winchester, VA 22601-2896

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5317663-1206 (UT)

Other Physician Assistant providers in Utah →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 0110007662 (VA)

Registry record

NPI: 1447416516
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2008
Record last updated: 12 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.