Individual provider · Type 1 NPI
Evan Mitchell Bloom, DNP, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Newnan, GA
NPI number
1740102573
Active
Practice location
20 Salbide Ave
Newnan, GA 30263-2501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN-NP312467 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1740102573
Evan Mitchell Bloom, DNP, APRN, PMHNP-BC's National Provider Identifier is 1740102573, issued on Jul 25, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Newnan, GA. The record was last updated on Jul 25, 2026.