Individual
MEAGAN A BERNATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APRN, CPNP
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 213-3599
(801) 587-7539
Mailing address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 213-3599
(801) 587-7539
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
9433354-4405
UT
363LP0200X
Pediatric Nurse Practitioner
Primary
9433354-4405
UT
Other
Enumeration date
09/16/2015
Last updated
12/03/2021
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