Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANITA AMANDA BLOOMINGBURG, CNA
ActiveNurse's Aide · PHOENIX, IL
Registration Details
- NPI Number
- 1407417199
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2019 (6.8385674266471 yrs)
- Last Updated
- Jul 21, 2022
Practice Information
- Address
-
829 E 153RD STPHOENIX, IL, 604262554Browse IL providers · Browse ZIP 60426
- Phone
- 8157646631
- Primary Specialty
-
Nurse's Aide
376K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.