National Provider Identifier Database

MEGAN L BLETZACKER, PNP, RN – NPI #1477936607
Pediatrics


Contact Information

MEGAN L BLETZACKER, PNP, RN
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT84113-1103
Phone: 801-662-1000
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X
Registered Nurse 163W00000X

* Indicates primary specialty

NPI Profile & details for MEGAN L BLETZACKER

NPI Number 1477936607
Credentials PNP, RN
Entity Individual
Enumeration date 07/07/2015
Last updated 01/10/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 95005824
  • CA License #: 95116094
  • NY License #: 382609
  • NY License #: 687102
  • UT License #: 12466851-4405
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MEGAN L BLETZACKER, PNP, RN

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