LAURA KIANE BLACKETT

SOUTH OGDEN, UT
NPI1912727496
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: UT  377805-4405)
Enumeration Date2024-10-10
Last Update Date2024-10-10
Business Address
LAURA KIANE BLACKETT FNP
1525 E 6000 S
SOUTH OGDEN, UT 84405-7144
Phone number: 801-337-5800
Mailing Address
LAURA KIANE BLACKETT FNP
3450 HIDDEN MEADOW CIR
MOUNTAIN GREEN, UT 84050-6743
Phone number: 801-645-0671