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Contact Information

JASON C BLOOMER, MSN, RN, CCRN, FANAI
502 ELM ST NE
ALBUQUERQUE, NM87102-2512
 Phone: 575-308-3787
 Fax: 505-843-8886
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

163WC0200X
 

Ambulatory Care

163WP2201X
Indicates primary specialty

NPI Profile & details for JASON C BLOOMER · (Male)

NPI # 1265205108
Status Active
Credentials MSN, RN, CCRN, FANAI
Entity Individual
Enumeration date 11/02/2023
Last updated 11/02/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # RN-80349
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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