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Individual

MRS. DEANNA LYNN BRIDGE NAJERA

Active
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Individual

MRS. DEANNA LYNN BRIDGE NAJERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-008348
VA
363A00000X
Physician Assistant
C04398
MD
363A00000X
Physician Assistant
Primary
MA052725
PA
363A00000X
Physician Assistant
PA200001322
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120420417
DEPT OF LABOR
PA
01
—
25-1716306
HEALTHNET/TRICARE
PA
01
—
945L
MEDICARE GROUP NUMBER
MD
01
—
C04398
MARYLAND STATE LICENSE
MD
01
—
MA052725
PA LICENSE
PA
01
—
OA002535
OSTEOPATHIC LICENSE NUMBER
PA
01
—
PA71213
CDS LICENSE NUMBER
MD
Enumeration date
10/13/2006
Last updated
03/07/2023
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