Individual provider · NPI-1

Andria Anita Bloom, PA-C

Family Medicine · Burlington, WA

NPI number1528343258
StatusActive
Last updated in NPPESOct 13, 2011

Details

NPI
1528343258
Entity type
Individual (NPI-1)
Name
Andria Anita Bloom
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 13, 2011
Last updated
Oct 13, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicinePA60247828WAYes

Practice location

1162 S. Burlington Boulevard
Burlington, WA 98233

Phone 360-757-9030 · Fax 360-757-4501

Mailing address

1990 Hospital Drive
Suite 100
Sedro Woolley, WA 98284

Phone 360-856-4141 · Fax 360-856-4145

Is something wrong?

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.

Other Family Medicine providers in Burlington, WA