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Leah Mira Blum, APRN-CNP
Nurse Practitioner in Charlotte, North Carolina
NPI 1023686185

Leah Mira Blum is a Nurse Practitioner based in Charlotte, NC. Leah Mira Blum practices in Charlotte, NC and has the professional credentials of APRN-CNP. The NPI Number for Leah Mira Blum is 1023686185 and holds a License No. 0028739 (North Carolina).

The current practice location address for Leah Mira Blum is 1918 Randolph Rd Ste 220, Charlotte, NC and can be reached out via phone at 704-316-1125 and via fax at 704-316-1143.

Location: 1918 Randolph Rd Ste 220, Charlotte, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023686185
Provider Name
Leah Mira Blum
Credential
APRN-CNP
Provider Entity Type
Individual
Gender
Female
Address
1918 Randolph Rd Ste 220, Charlotte, NC, 28260-0447
Phone Number
704-316-1125
Fax Number
704-316-1143
Provider Enumeration Date
06/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1918 Randolph Rd Ste 220
City
Charlotte
State
North Carolina
Zip
28207-1109
Phone Number
704-316-1125
Fax Number
704-316-1143
person
Provider Business Mailing Address Details
Address
1918 Randolph Rd Ste 220
City
Charlotte
State
North Carolina
Zip
28207-1109
Phone Number
704-316-1125
Fax Number
704-316-1143
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
0028739 (Ohio)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
0028739 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
5017837 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
0028739 (Ohio)
Definition
Definition to come...
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