# ELIZABETH M BLOOMFIELD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710134408
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA02115 | TX | Yes |
| 363A00000X | Physician Assistant | PA605 | ME | — |

## Other

- **Enumeration date:** 08/25/2008
- **Last updated:** 12/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 196967701 | — | TX |
| 01 | — | 8Y8715 | BCBS | TX |
| 01 | — | P00680238 | RAILROAD MEDICARE | TX |