Marie Blacker Blacker
FNP | Nurse Practitioner | 4+ years Exp
1370 S West Temple, Salt Lake City
Utah, 84115-5218
801-683-4323
Marie Blacker Blacker is a Salt Lake City, Utah based nurse practitioner with 4 years of experience in . She completed her graduation in 2021. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Marie Blacker Blacker is 28201 for Psych/Mental Health in South Carolina. Her current practice location is 1370 S West Temple, Salt Lake City. Patients can reach her at 801-683-4323. Marie Blacker Blacker is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1326521543.
Marie Blacker Blacker has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Marie Blacker Blacker speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Marie Blacker Blacker |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP |
| Experience: | 4+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1370 S West Temple, Salt Lake City,
Utah, 84115-5218 |
| Phone: | 801-683-4323 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5496081903 |
| Enrollment ID: | I20190722002091 |
| NPI Number: | 1326521543 |
| NPI Enumeration Date: | 13 Sep, 2018 |
| NPI Last Update On: | 15 Apr, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marie Blacker Blacker are as mentioned below.
| License Number | Specialization | State | Status | |
| 28201 | Psych/Mental Health | South Carolina | Primary | |
| 0000INTERN | Nurse Practitioner | Utah | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (460001) | Provo, UT | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Marie Blacker Blacker is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Intermountain Healthcare Services, Inc (1850209420) | 2442 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Marie Blacker Blacker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1477985513 | Medicaid | Utah | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Marie Blacker Blacker
1370 S West Temple,
Salt Lake City, Utah |
| Zip: | 84115-5218 |
| Phone Number: | 801-683-4323 |
Patients can reach Marie Blacker Blacker at
1370 S West Temple, Salt Lake City, Utah or can
call to book an appointment on 801-683-4323.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.