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

Robert Derrel Johnstun

Individual provider Nurse Practitioner · NPI 1578118659

Robert Derrel Johnstun is a Nurse Practitioner in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2019.

Licensed in
UT
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1160 E 3900 S Ste 5000
Salt Lake City, UT 84124-1275
Phone: (801) 261-7479
Fax: (801) 261-7429
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 8508793-4405 (UT)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 8508793-4405 (UT)

Record details

NPI number1578118659
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 6, 2019
Last updated in NPPESFebruary 10, 2022
Certification dateMay 7, 2020

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