Individual
MRS. BRIDGETT NICOLE SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0000014102
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210113123419661
CPHT
TN
Enumeration date
05/09/2007
Last updated
07/08/2007
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