Individual provider · Type 1 NPI
Annie Bloom
Specialist · Rapid City, SD
NPI number
1306433792
Active
Practice location
1836 W Kansas City St
Rapid City, SD 57702-2516
Mailing address
928 Spring Valley Dr
Divide, CO 80814-9619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1306433792
Annie Bloom's National Provider Identifier is 1306433792, issued on Dec 31, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rapid City, SD. The record was last updated on Nov 19, 2024.