MEGAN LIN BLETZACKER PNP RN NPI 1477936607

NPI Information

  • NPI: 1477936607
  • Provider Name: MEGAN LIN BLETZACKER, PNP, RN
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 100 N MARIO CAPECCHI DR
    SALT LAKE CITY, UT
    ZIP 84113
  • Phone: (801) 662-1000

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NPI Details

Megan Lin Bletzacker, PNP, RN is a pediatrics nurse practitioner in Salt Lake City, UT. Megan Lin Bletzacker, PNP, RN NPI is 1477936607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 662-1000

The enumeration date for this NPI number is 7/7/2015 and was last updated on 1/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse687102NEW YORKNo
2163W00000XRegistered Nurse95116094CALIFORNIANo
3363LP0200XNurse PractitionerPediatrics382609NEW YORKNo
4363LP0200XNurse PractitionerPediatrics95005824CALIFORNIANo
5363LP0200XNurse PractitionerPediatrics12466851-4405UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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