Healthcare Provider Details

I. General information

NPI: 1578018891
Provider Name (Legal Business Name): NAKILA BLESSING ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2016
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 N MADISON ST
BLOOMFIELD IA
52537-1299
US

IV. Provider business mailing address

509 N MADISON ST
BLOOMFIELD IA
52537-1299
US

V. Phone/Fax

Practice location:
  • Phone: 641-664-3832
  • Fax: 641-664-1857
Mailing address:
  • Phone: 641-664-3832
  • Fax: 641-664-1857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA145200
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: