Provider Demographics
NPI:1588841548
Name:BOHN, AMY KAY (CNA)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:KAY
Last Name:BOHN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:KAY
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:5670 S 3275 W
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84118-3228
Mailing Address - Country:US
Mailing Address - Phone:801-815-2856
Mailing Address - Fax:
Practice Address - Street 1:4026 VOLTA AVE
Practice Address - Street 2:
Practice Address - City:WEST VALLEY
Practice Address - State:UT
Practice Address - Zip Code:84120-4021
Practice Address - Country:US
Practice Address - Phone:801-982-9589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide