Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

972 N 600 E
SPANISH FORK UT
84660-1306
US

IV. Provider business mailing address

1055 N 500 W ATT: CREDENTIALING
PROVO UT
84604
US

V. Phone/Fax

Practice location:
  • Phone: 385-265-6060
  • Fax: 385-203-0392
Mailing address:
  • Phone: 801-354-8225
  • Fax: 801-418-0941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number327776-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: