Individual
MS. BRIDGETTE C DYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1695 12 MILE RD STE 220, BERKLEY, MI 48072-2100
(248) 582-1480
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1865
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704210331
MI
363LF0000X
Family Nurse Practitioner
Primary
4704210331
MI
Other
Enumeration date
09/30/2011
Last updated
02/12/2024
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