Individual provider · Type 1 NPI

Crystal D. Bloom, RN

Psychiatric/Mental Health Registered Nurse · Middleburg, FL

NPI number 1174898902 Active

Practice location

3292 County Road 220
Middleburg, FL 32068-4357

Fax (904) 291-5575

Mailing address

1726 Kingsley Ave, Suite 2
Orange Park, FL 32073-4463

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XRN9324837 (FL)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1174898902

Crystal D. Bloom, RN's National Provider Identifier is 1174898902, issued on Mar 13, 2012. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Middleburg, FL. The record was last updated on Mar 13, 2012.