Individual
AMY BLOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3469 NEW HIGHWAY 68, MADISONVILLE, TN 37354
(423) 442-3993
Mailing address
311 WALKER BL VD, MARYVILLE, TN 37803
(865) 977-6181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000128430
TN
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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