Individual provider · Type 1 NPI

Crystal Lynn Bloomer, LPN

Licensed Practical Nurse · Fayetteville, NC

NPI number 1275478943 Active

Practice location

572 Executive Pl
Fayetteville, NC 28305-5585

Fax (910) 864-8222

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X87767 (NC)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4 other providers at this address

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About NPI 1275478943

Crystal Lynn Bloomer, LPN's National Provider Identifier is 1275478943, issued on Apr 21, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fayetteville, NC. The record was last updated on Apr 21, 2026.