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