Bridewell, Deborah A

Bridewell, Deborah A is an individual health care provider with primary practice located at 930 Lake Baldwin Ln , Orlando FL 32814-6651. 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. Bridewell, Deborah A can be contacted via phone (407) 898-1500.

Contact Information

Primary practice address
930 Lake Baldwin Ln Orlando FL 32814-6651
Fax: (407) 898-3022
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP 9170261 Florida

Profile Details

NPI number 1962483677
LBN Legal business name Bridewell, Deborah A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jan 12th, 2016 - about 8 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 1962483677 NPPES
Florida MEDICAID 307162600

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