# MRS. CARA LORENA BLOODWORTH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417122987
- **Gender:** F
- **Credential:** NNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WN0002X | Neonatal Intensive Care Registered Nurse | R856212 | MS | — |
| 363L00000X | Nurse Practitioner | 70472 | ID | Yes |
| 363LN0000X | Neonatal Nurse Practitioner | R856212 | MS | — |

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 03/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00053778 | — | MS |
| 05 | — | 06576541 | — | MS |