Camryn Nicole Bloedel, RN
Individual provider Active NPI Registered Nurse · Hurricane, WV
NPI 1831874205 · NPPES record last updated Jun 21, 2023
Key facts
- NPI
- 1831874205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 0001237155 (VA)
- Practice address
- 1200 WV-34
Hurricane, WV 25526 - Phone
- (304) 202-3864
- NPI assigned
- Jun 21, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001237155 | VA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001237155 | VA | Yes |
Addresses
Primary practice location
1200 WV-34
Hurricane, WV 25526
Mailing address
2349 Rocky Step Rd
Scott Depot, WV 25560-7058
Phone (304) 941-8997
Other names
- Anjelica Phillips
Other providers in Hurricane, WV
- Baeley N Blake
- Jessica Blake
- Julie E Blake
- Kodey A Blankenship
- Molly Blethen
- Laura Jane Boggess
- Daniel Allen Boggs
- Jennifer Boggs
- Callen Elizabeth Bostic
- Ciara Bostic
All providers in Hurricane, WV · Registered Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2023. 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.