Individual
BRIDGET ANN NALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 WILDCAT LN, BARDSTOWN, KY 40004-9076
(844) 435-0900
(888) 423-5216
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010746
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100437510
—
KY
Enumeration date
12/09/2016
Last updated
10/08/2019
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