Provider Demographics
NPI:1861381220
Name:PRICE, JOANNA MICHELLE (DNP)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:MICHELLE
Last Name:PRICE
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:MICHELLE
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:159 N 700 W
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84116-3363
Mailing Address - Country:US
Mailing Address - Phone:435-704-4899
Mailing Address - Fax:
Practice Address - Street 1:159 N 700 W
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84116-3363
Practice Address - Country:US
Practice Address - Phone:435-704-4899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13113715-3102163WW0101X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory