Individual
BRIDGET HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHMP-BC
Contact information
Practice address
2230 VENETIAN CT STE 1, NAPLES, FL 34109-8727
(239) 690-6906
Mailing address
3752 COSTA MAYA WAY, ESTERO, FL 33928-2129
(773) 547-9411
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN9452806
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11036776
FL
Other
Enumeration date
12/05/2024
Last updated
12/12/2024
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