MRS. Cerissa Nicole Johnson Heth
NPI #1952040974 in South Ogden, Utah
Provider Information
- NPI Number
- 1952040974
- Entity Type
- Individual
- Name
- MRS. Cerissa Nicole Johnson Heth
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 27, 2022
- Last Updated
- Jan 13, 2023
Practice Location
- Address
- 975 CHAMBERS ST
- City
- South Ogden
- State
- Utah
- ZIP Code
- 84403-4591
- Phone
- (801) 387-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Nurse Practitioner |
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