Individual
MS. LISA F BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
8091 TOWNSHIP LINE RD, SUITE 207, INDIANAPOLIS, IN 46260-2494
(317) 415-7921
(317) 415-7922
Mailing address
8091 TOWNSHIP LINE RD, SUITE 207, INDIANAPOLIS, IN 46260-2494
(317) 415-7921
(317) 415-7922
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
71001121A
IN
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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