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KATHLEEN C BLOOMER NP

Pediatrics >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1235224429

Individual Registrant:
 KATHLEEN C BLOOMER NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
9 BUZELL AVE  EXETER, NH 03833-2522 US
Tel: 603-773-5200  Fax: --

Contact information for business:
PO BOX 655  EXETER, NH 03833-0655 US
Tel: 603-580-6753  Fax: 603-580-6840

Registration Information:
NPI: 1235224429
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Pediatrics
NH0364802302

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
30005279NH05




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