JORDAN BLOOM RN, BSN, APRN, CRNA
Individual Provider (NPI-1)
Active
Nurse Anesthetist, Certified Registered
Provider Information
- NPI Number
1851996581- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RN, BSN, APRN, CRNA
- Status
- Active
Contact & Location
- Address
- 6362 207TH ST N, FOREST LAKE, MN, 550258022
- Phone
- (763) 777-0925
Specialties & Taxonomies
Nurse Anesthetist, Certified Registered
Primary License: TN #30535