Jordan Bloom, RN, BSN, APRN, CRNA
NPI #1851996581 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1851996581
- Entity Type
- Individual
- Name
- Jordan Bloom, RN, BSN, APRN, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- RN, BSN, APRN, CRNA
- Enumeration Date
- Dec 1, 2020
- Last Updated
- Sep 30, 2021
Practice Location
- Address
- 6362 207TH ST N
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-8022
- Phone
- (763) 777-0925
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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