Organization · Type 2 NPI

Bloom Mental Wellness PLLC

Psychiatric/Mental Health Nurse Practitioner · American Fork, UT

NPI number 1508705229 Active

Practice location

57 N 490 W
American Fork, UT 84003-2264

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1508705229

Bloom Mental Wellness PLLC's National Provider Identifier is 1508705229, issued on Mar 27, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in American Fork, UT. The record was last updated on Sep 6, 2026.