Individual provider · Type 1 NPI

Kent Blad, FNP

Pediatric Nurse Practitioner · Provo, UT

NPI number 1336219906 Active

Practice location

1675 N Freedom Blvd, Bldg 3
Provo, UT 84604-2540

Fax (801) 377-8001

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X217117-4405 (UT)

Pediatric Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1336219906

Kent Blad, FNP's National Provider Identifier is 1336219906, issued on Nov 9, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Provo, UT. The record was last updated on Oct 19, 2011.