Provider Demographics
NPI:1679545412
Name:BRIDGES, DANA DENISE (MS, CRNP-BC)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:DENISE
Last Name:BRIDGES
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Gender:F
Credentials:MS, CRNP-BC
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Mailing Address - Street 1:2200 KERNAN DRIVE
Mailing Address - Street 2:AMBULATORY PRACTICE B ROOM G-374
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207
Mailing Address - Country:US
Mailing Address - Phone:410-448-2485
Mailing Address - Fax:410-448-6382
Practice Address - Street 1:2200 KERNAN DRIVE
Practice Address - Street 2:AMBULATORY PRACTICE B ROOM G-374
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207
Practice Address - Country:US
Practice Address - Phone:410-448-2485
Practice Address - Fax:410-448-6382
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR156291363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily