IndividualActive
Amelia Blotter, PA-C
NPI 1508614694 · Medical Physician Assistant · Pleasant Grove, UT
Provider details
- NPI number
- 1508614694
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 14250372-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1912 W 930 N
Pleasant Grove, UT 84062-4104
Phone: (801) 492-1999
Approximate (ZIP-level) locationGet directions
Mailing address
1912 W 930 N
Pleasant Grove, UT 84062-4104
Registry dates
- Enumerated
- 2024-05-13
- Last updated
- 2025-10-29
- Certified
- 2025-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.