Individual
BRIDGET BRODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1823 MOUNT VERNON RD SW, ROANOKE, VA 24015-2906
(703) 945-9857
Mailing address
1823 MOUNT VERNON RD SW, ROANOKE, VA 24015-2906
(703) 945-9857
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0001275856
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001275856
RN
VA
01
—
L-301163
IBCLC
—
Enumeration date
01/13/2022
Last updated
03/31/2023
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