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Organization
BRIDGE PSYCHIATRIC CARE
Active
Organization
BRIDGE PSYCHIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL ZUPANCIC PMHNP-BC (OWNER)
(202) 329-3928
Entity
Organization
Contact information
Practice address
1311A DOLLEY MADISON BLVD STE 2F, MC LEAN, VA 22101-3975
(202) 578-3272
Mailing address
1311A DOLLEY MADISON BLVD STE 2F, MC LEAN, VA 22101-3975
(202) 578-3272
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
04/11/2019
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