Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloom Skin Nutrition, LLC

Organization Point of Service · NPI 1962924217

Bloom Skin Nutrition, LLC is a Point of Service in Grand Haven, Michigan. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

14593 Windway Dr
Grand Haven, MI 49417-7677
Phone: (636) 345-2375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Point of Service (primary) Taxonomy 305S00000X

Record details

NPI number1962924217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heidi Paulsen — Practitioner / Owner · (636) 345-2375
NPI enumeratedJuly 7, 2017
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing address14593 Windway Dr, Grand Haven, MI 49417-7677