Individual
RACHEL BRIDGEMOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
25 NEWELL RD, SUITE E 36, BRISTOL, CT 06010-5100
(860) 583-9252
(860) 585-9848
Mailing address
25 NEWELL RD, SUITE E 36, BRISTOL, CT 06010-5100
(860) 583-9252
(860) 585-9848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
005186
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005186
LICENSE
CT
Enumeration date
10/16/2012
Last updated
02/06/2017
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