Organization · Type 2 NPI
Bloom Pediatrics Walk In Clinic LLC
Pediatric Nurse Practitioner · Fort Mill, SC
NPI number
1124991443
Active
Practice location
5529 Arden Mill Dr Ste 101
Fort Mill, SC 29715-6977
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1124991443
Bloom Pediatrics Walk In Clinic LLC's National Provider Identifier is 1124991443, issued on Sep 24, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Mill, SC. The record was last updated on Sep 24, 2025.