Individual provider · Type 1 NPI
Kallie Pothier
Family Nurse Practitioner · Pleasant Grove, UT
NPI number
1225828502
Active
Practice location
348 S 2000 W Unit 18A
Pleasant Grove, UT 84062-3885
Fax (866) 531-4109
Mailing address
1532 W 10 S
Pleasant Grove, UT 84062-6713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 11590992-3102 (UT) |
| Family Nurse Practitioner Primary | 363LF0000X | 11590992-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1225828502
Kallie Pothier's National Provider Identifier is 1225828502, issued on May 9, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pleasant Grove, UT. The record was last updated on Aug 17, 2025.