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Individual
BRIDGET UNDERWOOD
Active
Individual
BRIDGET UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR21394400
NJ
163W00000X
Registered Nurse
662134
PA
207QA0505X
Adult Medicine Physician
Primary
26NJ01297100
NJ
363LF0000X
Family Nurse Practitioner
SP024808
PA
Other
Enumeration date
01/26/2022
Last updated
10/23/2025
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