Individual provider · Type 1 NPI

Shane Taylor Bloom, PA

Physician Assistant · Lincoln, NE

NPI number 1720670482 Active

Practice location

1500 S 48th St Ste 800
Lincoln, NE 68506-1200

Call (402) 483-8600 Map

Fax (402) 483-8689

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2570 (NE)

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 1720670482

Shane Taylor Bloom, PA's National Provider Identifier is 1720670482, issued on Feb 4, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lincoln, NE. The record was last updated on Mar 25, 2021.