Individual
MRS. KAREN BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1630 GROVE ST, MARYSVILLE, WA 98270-4302
(360) 653-3500
(360) 657-3268
Mailing address
9226 147TH AVE NE, GRANITE FALLS, WA 98252-9231
(360) 981-1459
(360) 657-3268
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00150675
WI
363LA2200X
Adult Health Nurse Practitioner
AP60074107
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60074107
WA
Other
Enumeration date
02/17/2009
Last updated
02/23/2017
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