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Individual
BRIDGET QUERAL
Active
Individual
BRIDGET QUERAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
741136
NY
163W00000X
Registered Nurse
R264318
MD
363LP0200X
Pediatric Nurse Practitioner
383605
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
R264318
MD
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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