Individual ProviderDiane BlohmRegistered NurseNursing Service ProvidersPractice Address260 S Pearl St, Albany, NY 12202-1809(518) 447-4555PECOS EnrollmentBased on the most recent information from CMS, provider Diane Blohm does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1679900294Provider TypeIndividualFull NameBlohm, DianeGenderFemaleSole ProprietorNoEnumeration Date9/27/2013Last Updated9/27/2013Contact InformationPractice LocationPractice Address260 S Pearl St, Albany, NY 12202-1809Phone(518) 447-4555Fax(518) 447-4661Mailing LocationMailing Address260 S Pearl St, Albany, NY 12202-1809Phone(518) 447-4555Fax(518) 447-4661Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense428136New York