Individual
KAYLA BRIDGEWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1430 K ST NW # 102, WASHINGTON, DC 20005-2504
(703) 337-3483
Mailing address
8558 MAIN ST, SORRENTO, LA 70778-3022
(504) 547-1093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
221850
LA
363LF0000X
Family Nurse Practitioner
Primary
NP500009368
DC
Other
Enumeration date
12/22/2021
Last updated
05/07/2024
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