Caroline Bloss, CRNP
Nurse Practitioner in Philadelphia, PA. Individual provider (NPI-1).
NPI number1003582008
StatusActive
Last updated in NPPESNov 19, 2024
Details
- NPI
- 1003582008
- Entity type
- Individual (NPI-1)
- Name
- Caroline Bloss
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2021
- Certification date
- Nov 19, 2024
- Last updated
- Nov 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP023408 | PA | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | SP023408 | PA |
Practice location
1701 W Ritner StPhiladelphia, PA 19145-4324
Phone 215-336-2145 · Fax 215-336-5732
Mailing address
1701 W Ritner StPhiladelphia, PA 19145-4324
Phone 215-336-2145 · Fax 215-336-5732
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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