# BRIDGE INTEGRATING GROUP PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridge Integrating group practice LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821711706
- **Authorized official:** ANN MARIA STEWART PMHNP-BC (CRNP-PMH)
- **Authorized official phone:** (410) 900-3819

## Contact information

- **Practice address:** 6600 YORK RD STE 103, BALTIMORE, MD 21212-2092
- **Practice address phone:** (443) 384-5255
- **Mailing address:** 6600 YORK RD STE 103, BALTIMORE, MD 21212-2092
- **Mailing address phone:** (443) 384-5255
- **Mailing address fax:** (443) 384-5250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2022
- **Last updated:** 05/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100279136 | — | MD |
| 05 | — | 1962150680 | — | MD |