Bloodworth, Cara Lorena

Bloodworth, Cara Lorena is an sole proprietor health care provider with primary practice located at 190 E Bannock St , Boise ID 83712-6241. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bloodworth, Cara Lorena can be contacted via phone (208) 381-2088.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712-6241
Phone: (208) 381-2088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X R856212 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X R856212 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 70472 Idaho

Profile Details

NPI number 1417122987
LBN Legal business name Bloodworth, Cara Lorena
Credentials NNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2008
Last updated Mar 15th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417122987 NPPES
Mississippi MEDICAID 06576541
Mississippi MEDICAID 00053778

Popular Providers