Individual
PAMELA BLOOMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 S MAIN ST, ALEXIS, IL 61412
(309) 482-5571
(309) 482-5530
Mailing address
204 S MAIN ST, ALEXIS, IL 61412
(309) 482-5571
(309) 482-5530
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041309674-209006164
IL
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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