Individual provider · Type 1 NPI
Anita Amanda Bloomingburg, CNA
Nurse's Aide · Phoenix, IL
Practice location
829 E 153rd St
Phoenix, IL 60426-2554
Mailing address
5039 W 18th St Apt 17
Cicero, IL 60804-1962
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse's Aide Primary | 376K00000X | None listed |
Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…
About NPI 1407417199
Anita Amanda Bloomingburg, CNA's National Provider Identifier is 1407417199, issued on Jun 24, 2019. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Phoenix, IL. The record was last updated on Jul 21, 2022.