Organization · Type 2 NPI
In Bloom Birth and Wellness PLLC
Obstetrics & Gynecology Nurse Practitioner · Melbourne, FL
NPI number
1649901992
Active
Practice location
1370 Sarno Rd Ste D
Melbourne, FL 32935-5230
Fax (321) 617-5786
Mailing address
2032 Siroco Ln
Melbourne, FL 32934-7600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
| Women's Health Nurse Practitioner | 363LW0102X | None listed |
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | None listed |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
About NPI 1649901992
In Bloom Birth and Wellness PLLC's National Provider Identifier is 1649901992, issued on Jun 17, 2022. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Melbourne, FL. The record was last updated on Apr 11, 2024.