Bahneman, Bridget Penfold

Bahneman, Bridget Penfold is an individual health care provider with primary practice located at 1875 Woodwinds Dr Suite 110, Woodbury MN 55125-2298. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Bahneman, Bridget Penfold can be contacted via phone (651) 686-6400.

Contact Information

Primary practice address
1875 Woodwinds Dr Suite 110 Woodbury MN 55125-2298
Phone: (651) 686-6400
Fax: (651) 714-1264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R1377952 Minnesota

Profile Details

NPI number 1295710036
LBN Legal business name Bahneman, Bridget Penfold
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jan 6th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295710036 NPPES
Minnesota MEDICAID 140165300
Minnesota MEDICAID 41181200

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