IndividualActive
Crystal Bloom, RN
NPI 1174898902 · Psychiatric/Mental Health Registered Nurse · Middleburg, FL
Provider details
- NPI number
- 1174898902
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN9324837 (FL)
Practice location
3292 County Road 220
Middleburg, FL 32068-4357
Phone: (904) 291-5561
Fax: (904) 291-5575
Mailing address
1726 Kingsley Ave
Orange Park, FL 32073-4463
Registry dates
- Enumerated
- 2012-03-13
- Last updated
- 2012-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.