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

Theresa Bloom, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1396611406

Theresa Bloom, CPNP-PC is a Nurse Practitioner in Augusta, Maine. Qualified in 2025, 1 year ago. Licensed in Maine.

Years since qualifying
1
Licensed in
ME
In the registry since
2025

Practice location Address checks out

6 E Chestnut St Ste 310
Augusta, ME 04330-5760
Phone: (207) 623-2977
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence CNP261085 (ME)

Record details

NPI number1396611406
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedOctober 15, 2025
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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