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Individual

MRS. DEANNA LYNN BRIDGE NAJERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
290 S CENTER ST, WESTMINSTER, MD 21157-5219
(410) 876-4930
(410) 876-4959
Mailing address
290 S CENTER ST, WESTMINSTER, MD 21157-5219
(410) 876-4949
(410) 876-4959

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-008348
VA
363A00000X
Physician Assistant
C04398
MD
363A00000X
Physician Assistant
Primary
MA052725
PA
363A00000X
Physician Assistant
PA200001322
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120420417
DEPT OF LABOR
PA
01
25-1716306
HEALTHNET/TRICARE
PA
01
945L
MEDICARE GROUP NUMBER
MD
01
C04398
MARYLAND STATE LICENSE
MD
01
MA052725
PA LICENSE
PA
01
OA002535
OSTEOPATHIC LICENSE NUMBER
PA
01
PA71213
CDS LICENSE NUMBER
MD
Enumeration date
10/13/2006
Last updated
03/07/2023
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