Individual
LISA BRIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4972 LINCOLN AVE STE 101, EVANSVILLE, IN 47715-7909
(812) 402-3700
Mailing address
4972 LINCOLN AVE STE 101, EVANSVILLE, IN 47715-7909
(812) 402-3700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010143A
IN
Other
Enumeration date
04/30/2020
Last updated
06/11/2024
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