Healthcare Provider Details

I. General information

NPI: 1538264163
Provider Name (Legal Business Name): RICHELLE BLANCHARD MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

972 N 600 E
SPANISH FORK UT
84660-1306
US

IV. Provider business mailing address

835 N 640 W
AMERICAN FORK UT
84003-5244
US

V. Phone/Fax

Practice location:
  • Phone: 385-265-6060
  • Fax: 801-367-6930
Mailing address:
  • Phone: 801-367-6930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number327776-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: