Individual
BRIDGET LYNN GRESBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2317 MEMORIAL PKWY SW STE 410, HUNTSVILLE, AL 35801-5623
(256) 517-8861
(256) 517-8872
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-181042
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
C-APN.0004674-C-NP
CO
Other
Enumeration date
12/28/2020
Last updated
01/22/2023
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