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Individual

ADRIAN M BRIDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-7614
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(888) 280-9533
(919) 873-9821

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
127178
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
0024168105
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000556156
ANTHEM
05
7100030960
KY
05
8051950
NC
Enumeration date
03/26/2007
Last updated
12/18/2024
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