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NPI Code Detail

MEDICARE: ERICA NICOLE BLOOM CNM

MEDICARE:   ERICA NICOLE BLOOM  CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice MidwifeLK-0010264DE

General Provider Information

NPI Number : 1104784172
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA NICOLE BLOOM CNM
Provider Business Mailing Address
First Line : 21108 ATLANTA RD
Second Line :
City : SEAFORD
State : DE
Zip : 19973-6526
Country : US
Telephone Number : 302-362-2310
Fax Number : 302-362-2310
Provider Business Practice Location Address
First Line : 21108 ATLANTA RD
Second Line :
City : SEAFORD
State : DE
Zip : 19973-6526
Country : US
Telephone Number : 302-362-2310
Fax Number : 302-362-2310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “ ERICA NICOLE BLOOM CNM” Practice Location

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