Individual
KATHALEEN C BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
41 E DUVAL ST, VOLUNTEERS IN MEDICINE, JACKSONVILLE, FL 32202-3201
(904) 399-2766
Mailing address
41 E DUVAL ST, VOLUNTEERS IN MEDICINE, JACKSONVILLE, FL 32202-3201
(904) 399-2766
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP513832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305057200
—
FL
Enumeration date
10/11/2006
Last updated
11/01/2013
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