Organization
BRIDGE INTEGRATING GROUP PRACTICE LLC
Active
Other names
Bridge Integrating group practice LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIA STEWART PMHNP-BC (CRNP-PMH)
(410) 900-3819
Entity
Organization
Contact information
Practice address
6600 YORK RD STE 103, BALTIMORE, MD 21212-2092
(443) 384-5255
Mailing address
6600 YORK RD STE 103, BALTIMORE, MD 21212-2092
(443) 384-5255
(443) 384-5250
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100279136
—
MD
05
—
1962150680
—
MD
Enumeration date
09/26/2022
Last updated
05/19/2023
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