Individual
MICHELLE CARPENTER BRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2600 GLASGOW AVE, NEWARK, DE 19702-4773
(302) 836-8350
Mailing address
208 CHESHIRE DR, MIDDLETOWN, DE 19709-8881
(302) 449-0991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
LI0016126
DE
363LF0000X
Family Nurse Practitioner
Primary
LG0000191
DE
Other
Enumeration date
05/18/2008
Last updated
05/18/2008
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