MR. TANNER BENJAMIN BLOOM I LPN
NPI 1790213395
Licensed Practical Nurse in Pittsburgh, PA

Q: What is Tanner Bloom's NPI number?

The NPI number for Tanner Bloom is 1790213395. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Q: What is Tanner Bloom's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tanner Bloom was last updated on May 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 25, 2017

645 RODI RD, PITTSBURGH, PA 15235(412) 723-2775 Get Directions Write a Review

NPPES record last updated: May 25, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Tanner Benjamin Bloom I Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TANNER BENJAMIN BLOOM I LPN (NPI 1790213395) is an individual licensed practical nurse in Pittsburgh, Pennsylvania, licensed in Pennsylvania (PN298566) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1790213395

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameMR. TANNER BENJAMIN BLOOM ICredential: LPN

Location Address645 RODI RDPittsburgh, PA 15235-4564

Mailing Address702 Charles StHooversville, PA 15936-9012 · (814) 798-2098

Phone(412) 723-2775

Sole ProprietorNo

Enumeration DateMay 25, 2017

✔ NPI 1790213395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in PA · PN298566

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

645 RODI RD, Pittsburgh, PA 15235

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE L WILSON LPN

Licensed Practical Nurse