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Individual

BRIDGET MCILVAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3 CRESCENT DR STE 310, PHILADELPHIA, PA 19112-1017
(267) 419-3618
Mailing address
610 W GERMANTOWN PIKE STE 150, PLYMOUTH MEETING, PA 19462-1062
(610) 525-4966
(610) 525-0874

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN688178
PA

Other

Enumeration date
11/17/2021
Last updated
11/02/2023
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