NPIRadar

Katherine Nelson Blackham, FNP-C Valid NPI

Individual provider · Family Nurse Practitioner · Pleasant Grove, UT

NPI
1457031429
Type
Individual (Type 1)
Primary specialty
Family Nurse Practitioner (Nurse Practitioner)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363LF0000X
License number
11581803-4405 (UT)
Sex
Female
Sole proprietor
No
Enumerated
2023-07-24
Last updated
2023-07-25
Practice location
1446 W Pleasant Grove Blvd
Pleasant Grove, UT 84062-3216
(801) 785-5100

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