Individual provider · Type 1 NPI

Katherine Nelson Blackham, FNP-C

Family Nurse Practitioner · Pleasant Grove, UT

NPI number 1457031429 Active

Practice location

1446 W Pleasant Grove Blvd
Pleasant Grove, UT 84062-3216

Mailing address

2051 E Sands Dr
Holladay, UT 84124-2727

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X11581803-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1457031429

Katherine Nelson Blackham, FNP-C's National Provider Identifier is 1457031429, issued on Jul 24, 2023. 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 Jul 25, 2023.