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Contact Information

CARA L BLOODWORTH, NNP
190 E BANNOCK ST
BOISE, ID83712-6241
 Phone: 208-381-2088
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for CARA L BLOODWORTH · (Female)

NPI # 1417122987
Status Active
Credentials NNP
Entity Individual
Enumeration date 04/25/2008
Last updated 03/15/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 70472
  • MS License # R856212
  • MS Medicaid 00053778
  • MS Medicaid 06576541
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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