Individual provider · Type 1 NPI
Megan Lin Bletzacker, PNP, RN
Pediatric Nurse Practitioner · Salt Lake City, UT
NPI number
1477936607
Active
Practice location
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 687102 (NY) |
| Registered Nurse | 163W00000X | 95116094 (CA) |
| Pediatric Nurse Practitioner | 363LP0200X | 382609 (NY) |
| Pediatric Nurse Practitioner | 363LP0200X | 95005824 (CA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 12466851-4405 (UT) |
Pediatric Nurse Practitioner: Definition to come...
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- Sara ShobinPediatric Nurse Practitioner Salt Lake City, UT NPI 1053784074
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About NPI 1477936607
Megan Lin Bletzacker, PNP, RN's National Provider Identifier is 1477936607, issued on Jul 7, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 10, 2022.