Provider Demographics
NPI:1699816942
Name:BLUHM, AMELIA R (LVN)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:R
Last Name:BLUHM
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:
Other - Last Name:BLUHM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LVN
Mailing Address - Street 1:PO BOX 63
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1602
Mailing Address - Country:US
Mailing Address - Phone:956-687-1350
Mailing Address - Fax:
Practice Address - Street 1:4701 S SUGAR RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7012
Practice Address - Country:US
Practice Address - Phone:956-289-7044
Practice Address - Fax:956-289-7110
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5513164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse