person
Tanya Theresa Ivey-bloom, CRNP
Family Nurse Practitioner in Baltimore, Maryland
NPI 1083171284

Tanya Theresa Ivey-bloom is a Family Nurse Practitioner based in Baltimore, MD and is specialized in Family. Tanya Theresa Ivey-bloom practices in Baltimore, MD and has the professional credentials of CRNP. The NPI Number for Tanya Theresa Ivey-bloom is 1083171284 and holds a License No. R185746 (Maryland).

The current practice location address for Tanya Theresa Ivey-bloom is 600 N Wolfe St, Baltimore, MD and can be reached out via phone at 410-955-7531 and via fax at 410-502-7711.

Location: 600 N Wolfe St, Baltimore, MD, 21287-0005
person
Provider Profile Details
NPI Number
1083171284
Provider Name
Tanya Theresa Ivey-bloom
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
600 N Wolfe St, Baltimore, MD, 21287-0005
Phone Number
410-955-7531
Fax Number
410-502-7711
Provider Enumeration Date
02/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 N Wolfe St
City
State
Zip
21287-0005
Phone Number
410-955-7531
Fax Number
410-502-7711
person
Provider Business Mailing Address Details
Address
600 N Wolfe St
City
State
Zip
21287-0005
Phone Number
410-955-7531
Fax Number
410-502-7711
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R185746 (Maryland)
Definition
Definition to come...
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