institution
Bloom And Grow Pediatrics Llc
Pediatric Nurse Practitioner in Cloudcroft, New Mexico
NPI 1760956031

Bloom And Grow Pediatrics Llc is a Pediatric Nurse Practitioner based in Cloudcroft, NM and is specialized in Pediatrics. Bloom And Grow Pediatrics Llc practices in Cloudcroft, NM. The NPI Number for Bloom And Grow Pediatrics Llc is 1760956031 and holds a License No. (New Mexico).

The current practice location address for Bloom And Grow Pediatrics Llc is 1315 Burro Ave, Cloudcroft, NM and can be reached out via phone at 575-682-2002.

Location: 1315 Burro Ave, Cloudcroft, NM, 88317-1902
institution
Provider Profile Details
NPI Number
1760956031
Provider Name
Bloom And Grow Pediatrics Llc
Credential
Provider Entity Type
Organization
Address
1315 Burro Ave, Cloudcroft, NM, 88317-1902
Phone Number
575-682-2002
Fax Number
Provider Enumeration Date
01/18/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1326276395 01 NM TYPE 1 NPI
99120330 05 NM
institution
Provider Business Practice Location Address Details
Address
1315 Burro Ave
City
State
Zip
88317-7719
Phone Number
575-682-2002
Fax Number
person
Provider Business Mailing Address Details
Address
1315 Burro Ave
City
State
Zip
88317-7719
Phone Number
575-682-2002
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
()
Definition
Definition to come...
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