Individual
ANNISSA MARIE BRIDGEFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8631 W 3RD ST STE 810E, LOS ANGELES, CA 90048-5958
(310) 967-4324
(310) 967-3892
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 967-4324
(310) 967-3892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00001519
DC
363LW0102X
Women's Health Nurse Practitioner
Primary
95033021
CA
Other
Enumeration date
04/19/2023
Last updated
01/14/2025
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