Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Andrea Blackham

Individual provider Case Manager/Care Coordinator · NPI 1093161390

Mrs. Andrea Blackham is a Case Manager/Care Coordinator in Provo, Utah. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093161390
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 5, 2016
Last updated in NPPESFebruary 21, 2019

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