Individual
ALYX LYNNELL BRIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11612 FAIRFAX MEADOWS CIR APT 18305, FAIRFAX, VA 22030-8327
(703) 399-1561
Mailing address
11612 FAIRFAX MEADOWS CIR APT 18305, FAIRFAX, VA 22030-8327
(703) 399-1561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001303331
VA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
12/03/2019
Last updated
08/06/2021
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