Individual provider · Type 1 NPI
Tanya Theresa Ivey-Bloom, CRNP
Family Nurse Practitioner · Baltimore, MD
NPI number
1083171284
Active
Practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Fax (410) 502-7711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R185746 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1083171284
Tanya Theresa Ivey-Bloom, CRNP's National Provider Identifier is 1083171284, issued on Feb 23, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baltimore, MD. The record was last updated on Oct 20, 2019.