Tiffany Jean Bloom, FNP-C | |
20480 Market St, Onancock, VA 23417-4309 | |
(757) 302-2700 | |
Not Available |
Full Name | Tiffany Jean Bloom |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 20480 Market St, Onancock, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245920891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024186988 (Virginia) | Primary |
Entity Name | Riverside Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
Mailing Address | Practice Location Address |
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Tiffany Jean Bloom, FNP-C 856 J Clyde Morris Blvd Ste A, Newport News, VA 23601-1318 Ph: (757) 316-5800 | Tiffany Jean Bloom, FNP-C 20480 Market St, Onancock, VA 23417-4309 Ph: (757) 302-2700 |
Debra Ann Myers, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20486 Market Street, Onancock, VA 23417 Phone: 757-302-2700 | |
Heather Colleen Frisby, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20280 Market St, Onancock, VA 23417 Phone: 757-414-0400 | |
Elizabeth Mangieri-omps, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20280 Market St, Onancock, VA 23417 Phone: 757-787-7374 Fax: 757-787-4513 |