Melissa K Brackmann
Obstetrician & Gynecologist Gynecologic Oncologist
30 N 1900 E Rm 2b200
Salt Lake City
, Utah 84132-5000
Melissa K Brackmann
Obstetrician & Gynecologist Gynecologic Oncologist
30 N 1900 E Rm 2b200
Salt Lake City
, Utah 84132-5000
(801) 585-5146
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Melissa K Brackmann
- 30 N 1900 E Rm 2b200
- Salt Lake City, UT
- Zip : 84132-0002
- Fax : (801) 585-5146
- Phone : (801) 581-7647
Second Address
- Melissa K Brackmann
- 30 N 1900 E Rm 2b200
- Salt Lake City, UT
- Zip : 84132-5000
- Fax : (801) 585-5146
- Phone : (801) 581-7647
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 4301102795 | MI |
| Y | 207VX0201X | Gynecologic Oncologist | 11774168-1205 | UT |
National Provider Identifier
| NPI | 1467898544 |
|---|---|
| Provider Name | Melissa K Brackmann |
| First Address | Salt Lake City, UT 84132-0002 |
| Second Address | Salt Lake City, UT 84132-5000 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2013 |
| Last Update Date | 28/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.