Organization · Type 2 NPI
Bloom Mental Health LLC
Psychiatric/Mental Health Nurse Practitioner · Las Vegas, NV
NPI number
1063369015
Active
Practice location
2450 Chandler Ave
Las Vegas, NV 89120-4070
Mailing address
5516 Boulder Highway, #2F-221
Las Vegas, NV 89122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1063369015
Bloom Mental Health LLC's National Provider Identifier is 1063369015, issued on Mar 10, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Las Vegas, NV. The record was last updated on Sep 12, 2026.