Organization
BLOOM MENTAL HEALTH AND WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIDAN CLARK APRN (OWNER/ APRN)
(405) 706-6775
Entity
Organization
Contact information
Practice address
3000 W MEMORIAL RD STE 123-465, OKLAHOMA CITY, OK 73120-6101
(405) 706-6775
Mailing address
3000 W MEMORIAL RD STE 123-465, OKLAHOMA CITY, OK 73120-6101
(405) 706-6775
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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