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NPI Code Detail

MEDICARE: BLOOM HEALTH AND WELLNESS

MEDICARE: BLOOM HEALTH AND WELLNESS
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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1376492009
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLOOM HEALTH AND WELLNESS
Provider Business Mailing Address
First Line : 10440 LITTLE PATUXENT PKWY STE 300
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3648
Country : US
Telephone Number : 240-394-1809
Fax Number :
Provider Business Practice Location Address
First Line : 10440 LITTLE PATUXENT PKWY
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3561
Country : US
Telephone Number : 240-394-1809
Fax Number :
Authorized Official
Title or Position : FAMILY NURSE PRACTITIONER
Name : SUSAN NELSON
Credential : CRNP
Telephone Number : 240-394-1809
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “BLOOM HEALTH AND WELLNESS ” Practice Location

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