# MRS. DEANNA LYNN BRIDGE NAJERA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1740370790
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 03/07/2023

## 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 |