Individual
MRS. BRIDGET A HANNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, APRN-CNP
Contact information
Practice address
NORTHWESTERN UNIVERSITY 633 EMERSON, EVANSTON, IL 60208
(847) 467-6990
Mailing address
NORTHWESTERN UNIVERSITY 633 EMERSON, EVANSTON, IL 60208-1826
(847) 467-6990
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209004151
IL
Other
Enumeration date
06/10/2005
Last updated
10/25/2018
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