Healthcare Provider Details

I. General information

NPI: 1861381220
Provider Name (Legal Business Name): JOANNA MICHELLE PRICE DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOANNA MICHELLE HOWARD

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 N 700 W
SALT LAKE CITY UT
84116-3363
US

IV. Provider business mailing address

159 N 700 W
SALT LAKE CITY UT
84116-3363
US

V. Phone/Fax

Practice location:
  • Phone: 435-704-4899
  • Fax:
Mailing address:
  • Phone: 435-704-4899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number13113715-3102
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number13113715-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: