Organization
BRIDAN HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE DAWN FULTON APN/CRNP (NURSE PRACTITIONER)
(609) 410-7942
Entity
Organization
Contact information
Practice address
64 BENTWOOD DR, WESTAMPTON, NJ 08060-5640
(609) 410-7942
(609) 871-4002
Mailing address
64 BENTWOOD DR, WESTAMPTON, NJ 08060-5640
(609) 410-7942
(609) 871-4002
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NN10281700
NJ
363LW0102X
Women's Health Nurse Practitioner
SP010784
PA
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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