Individual provider · Type 1 NPI

Nicole Kristen Bloom, PA-C

Physician Assistant · Reno, NV

NPI number 1477309748 Active

Practice location

5449 Reno Corporate Dr Ste 200
Reno, NV 89511-2626

Call (775) 737-9411 Map

Fax (775) 737-9413

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA3332 (NV)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1477309748

Nicole Kristen Bloom, PA-C's National Provider Identifier is 1477309748, issued on Apr 27, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Reno, NV. The record was last updated on Nov 11, 2025.