IndividualActive
Alice Grooms, RN
NPI 1114430360 · Registered Nurse · Bloomington, IL
Provider details
- NPI number
- 1114430360
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041174697 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
315 Avenue F
Bloomington, IL 61704-7415
Phone: (309) 267-9449
Approximate (ZIP-level) locationGet directions
Mailing address
13001 Taft Rd
Clinton, IL 61727-2646
Registry dates
- Enumerated
- 2017-11-09
- Last updated
- 2017-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.