Individual
MEGAN BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
PO BOX 21728, SALT LAKE CITY, UT 84127-0128
(801) 662-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10786502-4405
UT
Other
Enumeration date
10/16/2025
Last updated
12/05/2025
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