Individual
MRS. BRIDGET NICOLE LIGHT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 805-0292
(703) 805-0284
Mailing address
2522 HILDAS WAY, WOODBRIDGE, VA 22191-6349
(703) 221-7637
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
145750
NC
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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