Individual
MARLENE I BRIDGFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1901 S CEDAR ST, #301 CARDIAC STUDY CENTER INC PS, TACOMA, WA 98405-2308
(253) 572-7320
(253) 627-3191
Mailing address
1901 S CEDAR ST, #301 CARDIAC STUDY CENTER INC PS, TACOMA, WA 98405-2308
(253) 572-7320
(253) 627-3191
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30004776
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9622390
—
WA
Enumeration date
12/01/2005
Last updated
07/08/2007
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