Individual
AMY BRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 SEYMOUR ST, SUITE 900, HARTFORD, CT 06106
(860) 241-0700
(860) 525-7881
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2313
(860) 241-0700
(860) 525-7881
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6334
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
1770966921
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094789
LICENSE
CT
Enumeration date
07/07/2015
Last updated
05/31/2018
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