Individual provider · Type 1 NPI
Blake Lawrence
Nurse Practitioner · Pleasant Grove, UT
Practice location
2100 W Pleasant Grove Blvd Ste 270
Pleasant Grove, UT 84062-3375
Mailing address
634 S 1870 W
Orem, UT 84059-4963
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 12078815-4405 (UT) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1902314289
Blake Lawrence's National Provider Identifier is 1902314289, issued on Jan 20, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pleasant Grove, UT. The record was last updated on Jan 26, 2024.