Individual provider · Type 1 NPI

Tanner Derek Nephi Johnson

Student in an Organized Health Care Education/Training Program · Midvale, UT

NPI number 1992509277 Active

Practice location

1205 E Waterside Cv Apt 23
Midvale, UT 84047-4273

Call (801) 913-6730 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992509277

Tanner Derek Nephi Johnson's National Provider Identifier is 1992509277, issued on Apr 3, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Midvale, UT. The record was last updated on Apr 3, 2025.