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CYNTHIA STEPHENS BLOOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
8500 ANDREW CARNEGIE BLVD, MAIL STOP D101 LIVING WELL, HEALTH AND WELLNESS CENTER, CHARLOTTE, NC 28262-8500
(704) 988-2572
(704) 988-4820
Mailing address
907 WOODHURST DR, MONROE, NC 28110-8545
(704) 988-2572
(704) 988-4820

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1662822
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
222935
NC

Other

Enumeration date
07/12/2006
Last updated
10/02/2008
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