Individual
AMY JEAN BLEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
440 N PAIUTE DR, CEDAR CITY, UT 84721-6181
(435) 865-1520
(435) 867-2658
Mailing address
2484 W MEADOW ST, CEDAR CITY, UT 84720-2265
(435) 592-4307
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
345563-4405
UT
Other
Enumeration date
11/29/2017
Last updated
02/06/2024
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