MEDICARE: HALEY BLOOM APRN

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
1	363LF0000X	Family Nurse Practitioner	3017926	KY

General Provider Information

NPI Number	:	1629708052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEY BLOOM APRN

Provider Business Mailing Address
First Line	:	321C E COLLEGE AVE
Second Line	:
City	:	STANTON
State	:	KY
Zip	:	40380-2325
Country	:	US
Telephone Number	:	606-663-9797
Fax Number	:	606-663-9470

Provider Business Practice Location Address
First Line	:	321C E COLLEGE AVE
Second Line	:
City	:	STANTON
State	:	KY
Zip	:	40380-2325
Country	:	US
Telephone Number	:	606-663-9797
Fax Number	:	606-663-9470

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2022
Last Update Date	:	03/16/2026

Similar Medicare Providers

1013954510 — PEDIATRIC ASSOCIATES
Practice Location Address:

321C E COLLEGE AVE
STANTON, KY
40380-2325

Practice Phone: 606-663-9797
Practice Fax: 606-663-9470

1578716213 — MRS. SARAH L MURPHY PA-C
Practice Location Address:

321C E COLLEGE AVE
STANTON, KY
40380-2325

Practice Phone: 606-663-9797
Practice Fax: 606-663-9470

1659917524 — MARIE DAWN BAKER APRN
Practice Location Address:

321C E COLLEGE AVE
STANTON, KY
40380-2325

Practice Phone: 606-663-9797
Practice Fax: 606-663-9470

1780683524 — COUNTY OF POWELL
Practice Location Address:

56 ATKINSON ST
STANTON, KY
40380-2514

Practice Phone: 606-663-0376
Practice Fax: 304-521-1576

1235066796 — ALEXIS DESIREE SIGOURNEY
Practice Location Address:

125 PINECREEK DR # C123
STANTON, KY
40380-2092

Practice Phone: 231-884-1277
Practice Fax:

1093708554 — MS. GENEIVIVE BREWER LCSW
Practice Location Address:

638 E COLLEGE AVE STE B
STANTON, KY
40380-2363

Practice Phone: 606-318-3500
Practice Fax: 606-606-3503

Directions to “ HALEY BLOOM APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.