IndividualActive
Anita Bloomingburg, CNA
NPI 1407417199 · Nurse's Aide · Phoenix, IL
Provider details
- NPI number
- 1407417199
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
829 E 153rd St
Phoenix, IL 60426-2554
Phone: (815) 764-6631
Approximate (ZIP-level) locationGet directions
Mailing address
5039 W 18th St Apt 17
Cicero, IL 60804-1962
Registry dates
- Enumerated
- 2019-06-24
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.