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Individual

BRIDGET ELIZABETH WAREHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2705 LOMA VISTA RD STE 205, VENTURA, CA 93003-1582
(805) 585-3086
(805) 653-0616
Mailing address
9790 RHONE ST, VENTURA, CA 93004-3078
(805) 585-3086

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95010941
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
484665
CALIFORNIA BOARD OF REGISTERED NURSING, REGISTERED NURSE
CA
01
95010941
CALIFORNIA BOARD OF REGISTERED NURSING FAMILY NURSE PRACTITIONER
CA
01
F10181558
AMERICAN ASSOCIATION OF NURSE PRACTITIONERS
Enumeration date
02/22/2019
Last updated
02/22/2019
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