Individual provider · Type 1 NPI

Anita Amanda Bloomingburg, CNA

Nurse's Aide · Phoenix, IL

NPI number 1407417199 Active

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

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000XNone 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.