Individual
BRIDGET M JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 UNIVERSITY DR, MC A410, HERSHEY, PA 17033-2360
(800) 243-1455
(717) 531-4151
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051689
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032031710001
—
PA
05
—
95172
—
PA
Enumeration date
04/26/2006
Last updated
10/17/2019
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