Bloodworth, Andrea Nicole

Bloodworth, Andrea Nicole is an sole proprietor health care provider with primary practice located at 619 E Mason St Ste 4P57 , Springfield IL 62701. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bloodworth, Andrea Nicole can be contacted via phone (217) 788-0706.

Contact Information

Primary practice address
619 E Mason St Ste 4P57 Springfield IL 62701
Phone: (217) 788-0706
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 209016698 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209016698 Illinois

Profile Details

NPI number 1588187397
LBN Legal business name Bloodworth, Andrea Nicole
Credentials APN, BSN, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2017
Last updated Dec 20th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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