Individual
MS. ROSEMARY KAY BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5118 LAKEWIND DRIVE, BUTTE DES MORTS, WI 54927
(920) 859-0042
(920) 859-0042
Mailing address
PO BOX 377, BUTTE DES MORTS, WI 54927-0377
(920) 859-0042
(920) 859-0042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
73617-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38229100
—
WI
Enumeration date
03/27/2008
Last updated
03/27/2008
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