Individual
BROOKE STACIE BLOOMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
616 UNIONVILLE RD, SEBEWAING, MI 48759-1631
(989) 883-9088
Mailing address
616 UNIONVILLE RD, SEBEWAING, MI 48759-1631
(989) 883-9088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704235365
FM
Other
Enumeration date
07/29/2019
Last updated
03/30/2021
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