Individual
MS. BRIDGET PENFOLD BAHNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1875 WOODWINDS DR, SUITE 110, WOODBURY, MN 55125-2298
(651) 686-6400
(651) 714-1264
Mailing address
1875 WOODWINDS DR, SUITE 110, WOODBURY, MN 55125-2298
(651) 646-6800
(651) 714-1264
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R1377952
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140165300
—
MN
05
—
41181200
—
WI
Enumeration date
12/14/2005
Last updated
01/06/2010
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