Individual provider · Type 1 NPI

Melissa Jean Boggan, APRN

Pediatric Nurse Practitioner · Salt Lake City, UT

NPI number 1740955145 Active

Practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Mailing address

4883 W Upper Bend Dr
Herriman, UT 84096-2073

Other practice locations

  • 265 E Rollins St Ste 4700, Orlando, FL 32804-5534 · (407) 845-8352

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPRN11046247 (FL)
Pediatric Nurse Practitioner 363LP0200X11014718 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1740955145

Melissa Jean Boggan, APRN's National Provider Identifier is 1740955145, issued on Aug 9, 2021. 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 Jun 25, 2026.