MEDICARE: ERIN JOHNSON COLE DNP, CNM, WHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	C-APN0000494-C-APN	CO
2	367A00000X	Advanced Practice Midwife	8024687-4402	UT

General Provider Information

NPI Number	:	1659726511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN JOHNSON COLE DNP, CNM, WHNP

Provider Business Mailing Address
First Line	:	9667 S STONEHAVEN ST
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84009-9669
Country	:	US
Telephone Number	:	801-520-3662
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 S 2000 E # SLC
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84112-5880
Country	:	US
Telephone Number	:	801-585-9346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2016
Last Update Date	:	11/12/2021

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