National Provider Identifier

Penny Ann Bloom, RN

Penny Ann Bloom, RN is listed in the NPPES registry with a primary specialty of Community Health Registered Nurse in Rochester, NY and a listed phone number of (585) 259-5001.

NPI 1487122180Rochester, NYCommunity Health Registered Nurse

Profile Overview

NPI
1487122180
Provider Type
Individual
Primary Specialty
Community Health Registered Nurse
Enumeration Date
November 12, 2018
Last Updated
November 12, 2018

Practice Location

  • 188 Clearwater Cir
  • Rochester, NY 14612-3081

Phone: (585) 259-5001

Specialties

  • Community Health Registered Nurse (163WC1500X)
Full Record
NPI
1487122180
Entity Type
Individual
Last Name
Bloom
First Name
Penny
Middle Name
Ann
Credential
RN
Mailing Street Address
188 Clearwater Cir
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-3081
Mailing Country
US
Mailing Phone
(585) 259-5001
Practice Street Address
188 Clearwater Cir
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14612-3081
Practice Country
US
Practice Phone
(585) 259-5001
Enumeration Date
November 12, 2018
Last Updated
November 12, 2018
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community Health Registered Nurse (163WC1500X)