Individual
MARIE BLACKER BLACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-C
Contact information
Practice address
1125 W CENTER ST, OREM, UT 84057-5207
(801) 903-5903
Mailing address
1125 W CENTER ST, OREM, UT 84057-5207
(801) 903-5903
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0000INTERN
UT
363LF0000X
Family Nurse Practitioner
267381-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
267381-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
28201
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477985513
—
UT
Enumeration date
09/13/2018
Last updated
03/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us