IndividualActive
Easton Roberts
NPI 1861206229 · Acute Care Nurse Practitioner · Ogden, UT
Provider details
- NPI number
- 1861206229
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 9256356-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
4403 Harrison Blvd Ste 1670
Ogden, UT 84403-3306
Phone: (801) 387-7150
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Additional practice locations (1)
- 8th Ave & C St ESalt Lake City, UT 84143-0001Phone: (081) 408-3858
Registry dates
- Enumerated
- 2025-02-05
- Last updated
- 2025-12-03
- Certified
- 2025-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.