Search › Massachusetts › 164W00000X
Johnnie Bloom, LPN
NPI 1659456952 · on the registry since 2006 · sole proprietor
Practice
- Address
- 260 Beacon St
Somerville, MA 02143 - Phone
- (617) 661-5700
- Organisation at this address
- Dana Ellsmore
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts