Individual
BRIDGET M OSWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA MSN
Contact information
Practice address
FRESNO AND R STREET, FRESNO, CA 93721
(559) 459-6000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA2779
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA0027790
BLUE SHIELD OF CA
CA
05
—
RN5915700
—
CA
Enumeration date
01/03/2007
Last updated
11/13/2012
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