Individual
LEISA BRIDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
411 E MARKET ST, AKRON, OH 44304-1542
(330) 252-0600
(330) 252-0700
Mailing address
525 E MARKET ST, AKRON, OH 44304-1698
(330) 375-6572
(330) 375-6576
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-07291
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2380990
—
OH
01
—
500030347
RR MEDICARE
OH
Enumeration date
08/11/2005
Last updated
10/18/2024
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