Individual
BRIDGET GALLAGHER BRADENHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, FNP
Contact information
Practice address
2200 ARCH ST, PHILADELPHIA, PA 19103-1330
(215) 561-9100
Mailing address
8113 ARDMORE AVE, WYNDMOOR, PA 19038-8419
(215) 510-6638
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN700484
PA
363LF0000X
Family Nurse Practitioner
Primary
SP031803
PA
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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