Mrs. Michelle Marie Bloom
Nurse Practitioner - Acute Care
1 Barnes Jewish Hospital Plz Dept Anesthesiology
Saint Louis
, Missouri 63110-1003
Mrs. Michelle Marie Bloom
Nurse Practitioner - Acute Care
1 Barnes Jewish Hospital Plz Dept Anesthesiology
Saint Louis
, Missouri 63110-1003
(314) 362-1185
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Mrs. Michelle Marie Bloom
- 660 S Euclid Ave Cb 8054
- Saint Louis, MO
- Zip : 63110-1010
- Fax : (314) 362-1185
- Phone : (800) 862-9980
Second Address
- Mrs. Michelle Marie Bloom
- 1 Barnes Jewish Hospital Plz Dept Anesthesiology
- Saint Louis, MO
- Zip : 63110-1003
- Fax : (314) 362-1185
- Phone : (800) 862-9980
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 2015008056 | MO |
National Provider Identifier
| NPI | 1003230764 |
|---|---|
| Provider Name | Mrs. Michelle Marie Bloom |
| First Address | Saint Louis, MO 63110-1010 |
| Second Address | Saint Louis, MO 63110-1003 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2014 |
| Last Update Date | 15/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 420020823 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.