NPI 1235403643

Bobby R Blum, ANPC

Practitioner Adult Health Nurse Practitioner Greenville, IL

Practice location

Address: 200 Health Care Dr, Greenville, IL 62246-1154
Phone: (618) 664-1230
Mailing address: 4550 Memorial Dr STE. 340, Belleville, IL 62226-5372

Registered specialties

Adult Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence 209010152 (IL)

Other Nurse Practitioner providers in Illinois →

Registry record

NPI: 1235403643
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Mar 2012
Record last updated: 10 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.