In Bloom Birth and Wellness PLLC
Organization Active NPI Obstetrics & Gynecology Nurse Practitioner · Melbourne, FL
NPI 1649901992 · NPPES record last updated Apr 11, 2024
Key facts
- NPI
- 1649901992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner 363LX0001X
- Legal business name
- IN BLOOM BIRTH AND WELLNESS PLLC
- Practice address
- 1370 Sarno Rd Ste D
Melbourne, FL 32935-5230 - Phone
- (321) 354-6911
- Fax
- (321) 617-5786
- NPI assigned
- Jun 17, 2022
- Organization subpart
- No
Authorized official
- Name
- Linda Gail Legault, CNM, APRN
- Title
- Owner/Provider
- Phone
- (321) 312-1494
Practitioners 1
-
Linda Gail Legault, CNM
National Provider Directory
Locations
1370 Sarno Rd
Ste D
Melbourne, FL 32935
Phone (321) 354-6911
Interoperability endpoints
- admin@inbloombirthandwellness.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner |
363LP2300X | |||
| Women's Health Nurse Practitioner |
363LW0102X | |||
| Obstetrics & Gynecology Nurse Practitioner |
363LX0001X | Yes |
Addresses
Primary practice location
1370 Sarno Rd Ste D
Melbourne, FL 32935-5230
Mailing address
2032 Siroco LN
Melbourne, FL 32934-7600
Phone (321) 312-1494
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740774470 | Other | PROVIDER NPI | |
| APRN11000324 | Other | FL | APRN LICENSE # |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Admin@inbloombirthandwellness.com | Direct |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.