Organization
NORTHERN BLOOM HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA GIBSON ANP-BC, APRN (OWNER)
(907) 982-3285
Entity
Organization
Contact information
Practice address
1901 N HEMMER RD APT 208, PALMER, AK 99645-9673
(907) 203-4677
(800) 516-0397
Mailing address
1901 N HEMMER RD APT 208, PALMER, AK 99645-9673
(907) 203-4677
(800) 516-0397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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