Individual
AMY JEAN BLEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
962 SAGE DR, CEDAR CITY, UT 84720-1885
(435) 865-3460
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 865-3460
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
345563-4405
UT
363LF0000X
Family Nurse Practitioner
345563-4405
UT
Other
Enumeration date
11/29/2017
Last updated
06/09/2026
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