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Individual

MARY BRIDGET HUNTLY

Active
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Individual

MARY BRIDGET HUNTLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
815069
NV
363LP2300X
Primary Care Nurse Practitioner
Primary
F09180993
NV

Other

Enumeration date
11/27/2018
Last updated
08/09/2024
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