Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Robert Haslam, NP-C

Individual provider Family Nurse Practitioner · NPI 1033729512

Justin Robert Haslam, NP-C is a Nurse Practitioner in Ogden, Utah. Qualified in 2020, 6 years ago. Practices with Ogden Clinic PC, a 106-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2020
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

5740 Crestwood Dr
Ogden, UT 84405-4869
Phone: (801) 479-7771
Fax: (801) 479-7795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9137974-4405 (UT)

Record details

NPI number1033729512
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 9, 2020
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020
Mailing address5740 Crestwood Dr, Ogden, UT 84405-4869

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ogden Clinic Pc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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