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Mr. Tanner Benjamin Bloom I, LPN
Licensed Practical Nurse in Pittsburgh, Pennsylvania
NPI 1790213395

Tanner Benjamin Bloom I is a Licensed Practical Nurse based in Hooversville, PA. Tanner Benjamin Bloom I practices in Pittsburgh, PA and has the professional credentials of LPN. The NPI Number for Tanner Benjamin Bloom I is 1790213395 and holds a License No. PN298566 (Pennsylvania).

The current practice location address for Tanner Benjamin Bloom I is 645 Rodi Rd, Pittsburgh, PA and can be reached out via phone at 412-723-2775.

Location: 645 Rodi Rd, Pittsburgh, PA, 15936-9012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790213395
Provider Name
Tanner Benjamin Bloom I
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
645 Rodi Rd, Pittsburgh, PA, 15936-9012
Phone Number
412-723-2775
Fax Number
Provider Enumeration Date
05/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
645 Rodi Rd
City
Pittsburgh
State
Pennsylvania
Zip
15235-4564
Phone Number
412-723-2775
Fax Number
person
Provider Business Mailing Address Details
Address
645 Rodi Rd
City
Pittsburgh
State
Pennsylvania
Zip
15235-4564
Phone Number
412-723-2775
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN298566 (Pennsylvania)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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