Individual
AUSTIN GUY BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
395 W COUGAR BLVD, PROVO, UT 84604-3317
(801) 357-4600
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-4600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9801058-4405
UT
Other
Enumeration date
12/18/2020
Last updated
06/09/2026
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