Bloomquist, Maricruz R

Bloomquist, Maricruz R is an individual health care provider with primary practice located at 5505 S Expressway 77 Suite 205, Harlingen TX 78550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family Health, which is considered as her primary health care specialty. Bloomquist, Maricruz R can be contacted via phone (956) 421-2757.

Contact Information

Primary practice address
5505 S Expressway 77 Suite 205 Harlingen TX 78550
Phone: (956) 421-2757
Fax: (956) 421-2787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 607383 Texas

Profile Details

NPI number 1588971881
LBN Legal business name Bloomquist, Maricruz R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2010
Last updated Jun 13th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588971881 NPPES
Texas MEDICAID 346845601
Texas Other 8FF769

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