Individual
BRIDGET L SHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
1600 W 38TH ST STE 100, AUSTIN, TX 78731-6404
(512) 458-5323
(512) 458-2030
Mailing address
1600 W 38TH ST STE 100, AUSTIN, TX 78731-6404
(512) 458-5323
(512) 458-2030
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
679922
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
679922
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
679922
REGISTERED NURSE
TX
Enumeration date
04/15/2010
Last updated
03/15/2024
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