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Contact Information

MADISON BLOOM, DNP, FNP-BC
3945 OKEMOS RD STE A2
OKEMOS, MI48864-4207
 Phone: 517-339-1676
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MADISON BLOOM · (Female)

NPI Number 1003680919
Status Active
Credentials DNP, FNP-BC
Entity Individual
Enumeration date 11/10/2023
Last updated 03/13/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704341737
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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