Individual
ELIZABETH A BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3800 SIERRA CIRCLE, SUITE 100, CENTER VALLEY, PA 18034-8476
(484) 664-2090
(484) 664-2089
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
PENDING
PA
363LF0000X
Family Nurse Practitioner
Primary
SP019453
PA
Other
Enumeration date
08/30/2018
Last updated
11/19/2018
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