Individual
MS. INGRID LEA BLOOMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4500 HOSPITAL BLVD STE 320, ROSWELL, GA 30076-0001
(770) 410-4520
Mailing address
4500 HOSPITAL BLVD STE 320, ROSWELL, GA 30076-0001
(770) 410-4520
(770) 410-4525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
008355
NY
Other
Enumeration date
10/18/2005
Last updated
07/31/2020
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