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Individual

BRIDGET SHEA-GANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
29 ELM ST, SOUTH DEERFIELD, MA 01373-1005
(413) 665-9111
Mailing address
19 RIVER RD S, PUTNEY, VT 05346-8517

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
101.0134628
VT
363LP0200X
Pediatric Nurse Practitioner
CNP-03085
NM
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2372845
MA

Other

Enumeration date
10/13/2016
Last updated
03/15/2023
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