Individual
AMELIA KAYE BLOOMQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4305 E TRENT AVE, SPOKANE, WA 99212-1315
(800) 491-0909
Mailing address
4305 E TRENT AVE, SPOKANE, WA 99212-1315
(509) 795-3133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61677784
WA
363LF0000X
Family Nurse Practitioner
24710
SC
363LF0000X
Family Nurse Practitioner
APRN.CNP.026114
OH
Other
Enumeration date
12/30/2019
Last updated
04/29/2025
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