Provider Demographics
NPI:1588384010
Name:STEENBLIK, MEGAN MARIE (FNP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MARIE
Last Name:STEENBLIK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:MEGAN
Other - Middle Name:MARIE
Other - Last Name:HOMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1995 E SYCAMORE LN
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-5130
Mailing Address - Country:US
Mailing Address - Phone:480-826-2138
Mailing Address - Fax:
Practice Address - Street 1:1750 N WYMOUNT TERRACE
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-8460
Practice Address - Country:US
Practice Address - Phone:801-422-2771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-02
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12776742-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily