Individual
MRS. AMANDA SUE BRIDGES
Active
Individual
MRS. AMANDA SUE BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
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
Update your record
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