| NPI | 1033831227 |
|---|---|
| Doing Business As | BLOOM INTEGRATIVE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | TIFFANY REYNOLDS CEO 931-980-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-01-12 |