Individual
MRS. MARIAN ANNE BRIDENSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
1222 W LEGACY CROSSING BLVD STE 200, CENTERVILLE, UT 84014-5560
(801) 298-3802
(801) 298-8371
Mailing address
1222 W LEGACY CROSSING BLVD STE 200, CENTERVILLE, UT 84014-5560
(801) 298-3802
(801) 298-8371
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001259398
VA
363L00000X
Nurse Practitioner
0024179343
VA
363L00000X
Nurse Practitioner
Primary
14214374-4405
UT
Other
Enumeration date
06/19/2020
Last updated
10/03/2025
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