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

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XNone listed
Women's Health Nurse Practitioner 363LW0102XNone listed
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XNone 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.