Individual
BRENDA K BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
(303) 413-6325
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
(303) 413-6325
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
117779
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39904900
—
WI
Enumeration date
05/13/2006
Last updated
08/31/2016
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