Organization · Type 2 NPI
Mind Bloom Wellness Center PLLC
Nurse Practitioner · Grand Prairie, TX
Practice location
1221 La Fiesta Dr
Grand Prairie, TX 75052-5404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1467248674
Mind Bloom Wellness Center PLLC's National Provider Identifier is 1467248674, issued on Apr 15, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Prairie, TX. The record was last updated on Apr 15, 2025.