Individual
MRS. MARICRUZ R BLOOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P
Contact information
Practice address
5505 S EXPRESSWAY 77, SUITE 205, HARLINGEN, TX 78550
(956) 421-2757
(956) 421-2787
Mailing address
5505 S EXPRESSWAY 77, SUITE 205, HARLINGEN, TX 78550-3214
(956) 421-2757
(956) 421-2787
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
607383
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346845601
—
TX
01
—
8FF769
BLUECROSS BLUESHIELD
TX
Enumeration date
09/08/2010
Last updated
06/13/2018
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