Individual provider · Type 1 NPI

Madison Bloom, DNP, FNP-BC

Nurse Practitioner · Okemos, MI

NPI number 1003680919 Active

Practice location

3945 Okemos Rd Ste A2
Okemos, MI 48864-4207

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704341737 (MI)
Registered Nurse 163W00000X4704341737 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003680919

Madison Bloom, DNP, FNP-BC's National Provider Identifier is 1003680919, issued on Nov 10, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Okemos, MI. The record was last updated on Mar 13, 2026.