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Contact Information

BROOKE M BLUM, NNP
3442 KENSINGTON PARC CIR
AVONDALE ESTATES, GA30002-1779
 Phone: 678-787-6526
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BROOKE M BLUM · (Female)

NPI Number 1629668736
Status Active
Credentials NNP
Entity Individual
Enumeration date 01/22/2021
Last updated 03/16/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # RN230977
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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