Nicole Kristen Bloom, PA-C is a
Student In An Organized Health Care Education/training Program based in Sparks, Nevada. Nicole Kristen Bloom is licensed to practice in * (Not Available) (license number ) and her current practice location is
6132 Bearcat Dr, Sparks, Nevada. She can be reached at her office (for appointments etc.) via phone at
(415) 827-1710.
NPI number for Nicole Kristen Bloom is 1477309748 and her current mailing address is 6132 Bearcat Dr, Sparks, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477309748.
Provider's Profile
| Full Name | Nicole Kristen Bloom |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 6132 Bearcat Dr, Sparks, Nevada |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1477309748
- Provider Enumeration Date: 04/27/2024
- Last Update Date: 04/27/2024
Medical Identifiers
Medical identifiers for Nicole Kristen Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477309748 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Kristen Bloom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicole Kristen Bloom, PA-C
6132 Bearcat Dr,
Sparks, NV 89436-9370
Ph: (415) 827-1710 | Nicole Kristen Bloom, PA-C
6132 Bearcat Dr,
Sparks, NV 89436-9370
Ph: (415) 827-1710 |
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