# BRIDGE PSYCHIATRIC CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043772122
- **Authorized official:** MRS. CHERYL ZUPANCIC PMHNP-BC (OWNER)
- **Authorized official phone:** (202) 329-3928

## Contact information

- **Practice address:** 1311A DOLLEY MADISON BLVD STE 2F, MC LEAN, VA 22101-3975
- **Practice address phone:** (202) 578-3272
- **Mailing address:** 1311A DOLLEY MADISON BLVD STE 2F, MC LEAN, VA 22101-3975
- **Mailing address phone:** (202) 578-3272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2019
- **Last updated:** 04/11/2019