MR. JASON COREY BLOOMER MSN RN CCRN FANAI NPI 1265205108

NPI Information

NPI: 1265205108
Provider Name: MR. JASON COREY BLOOMER, MSN, RN, CCRN, FANAI
Classification: Registered Nurse - 163WC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
502 ELM ST NE
ALBUQUERQUE, NM
ZIP 87102
Phone: (575) 308-3787
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MR. Jason Corey Bloomer, MSN, RN, CCRN, FANAI is a critical care medicine registered nurse in Albuquerque, NM. MR. Jason Corey Bloomer, MSN, RN, CCRN, FANAI NPI is 1265205108. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

502 ELM ST NE
ALBUQUERQUE, NM
ZIP 87102-512
Phone: (575) 308-3787
Fax: (505) 843-8886

The enumeration date for this NPI number is 11/2/2023 and was last updated on 11/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP2201X	Registered Nurse	Ambulatory Care	RN-80349	NEW MEXICO	No
2	163WC0200X	Registered Nurse	Critical Care Medicine	RN-80349	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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