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NPI Code Detail

MEDICARE: NATALIE BLOOMER

MEDICARE: NATALIE BLOOMER
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
1164W00000XLicensed Practical Nurse226607OK

General Provider Information

NPI Number : 1518818350
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE BLOOMER
Provider Business Mailing Address
First Line : 4400 N LINCOLN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73105-5104
Country : US
Telephone Number : 580-500-9738
Fax Number :
Provider Business Practice Location Address
First Line : 2250 N AIRPORT RD
Second Line :
City : WEATHERFORD
State : OK
Zip : 73096-3351
Country : US
Telephone Number : 405-424-7711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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Directions to “ NATALIE BLOOMER ” Practice Location

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