Individual
MEIRA BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 S 3RD ST, SHELTON, WA 98584-3533
(650) 656-7060
Mailing address
130 S 3RD ST, SHELTON, WA 98584-3533
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61664915
WA
Other
Enumeration date
08/20/2019
Last updated
03/31/2025
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