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

Tanner Derek Nephi Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992509277

Tanner Derek Nephi Johnson is a Student in an Organized Health Care Education/Training Program in Midvale, Utah. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1205 E Waterside Cv Apt 23
Midvale, UT 84047-4273
Phone: (801) 913-6730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1992509277
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 3, 2025
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address1205 E Waterside Cv Apt 23, Midvale, UT 84047-4273

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