MRS. MEGAN SONJA SULLIVAN FNP-C NPI 1669071395

NPI Information

  • NPI: 1669071395
  • Provider Name: MRS. MEGAN SONJA SULLIVAN, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 660 S 200 E STE 250
    SALT LAKE CITY, UT
    ZIP 84111
  • Phone: (801) 359-2256

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NPI Details

MRS. Megan Sonja Sullivan, FNP-C is a family nurse practitioner in Salt Lake City, UT with 5 years of experience. MRS. Megan Sonja Sullivan, FNP-C NPI is 1669071395. 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:

660 S 200 E STE 250
SALT LAKE CITY, UT
ZIP 84111-846
Phone: (801) 359-2256

The NPI 1669071395 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/23/2020 and was last updated on 10/23/2020.

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
1363LF0000XNurse PractitionerFamily7650547-4409UTAHYes

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: 3/30/2025

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