Individual
MRS. AMANDA SUE BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
5413W CEDAR LN 203C, BETHESDA, MD 20814-1527
(301) 869-9776
(301) 417-4954
Mailing address
15825 SHADY GROVE RD 140, ROCKVILLE, MD 20850-4015
(301) 869-9776
(301) 417-4954
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN965237
DC
363LA2100X
Acute Care Nurse Practitioner
0024164209
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
R147528
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037210800
—
DC
05
—
409208200
—
DC
Enumeration date
10/12/2006
Last updated
12/22/2015
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