Bridgforth, Marlene I
Bridgforth, Marlene I is an individual health care provider with primary practice located at 1901 S Cedar St #301 Cardiac Study Center Inc Ps, Tacoma WA 98405-2308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bridgforth, Marlene I can be contacted via phone (253) 572-7320.Contact Information
Primary practice address
1901 S Cedar St #301 Cardiac Study Center Inc Ps
Tacoma WA 98405-2308
Phone: (253) 572-7320
Fax: (253) 627-3191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP30004776 | Washington |
Profile Details
| NPI number | 1023092392 |
|---|---|
| LBN Legal business name | Bridgforth, Marlene I |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023092392 | NPPES |
| Washington | MEDICAID | 9622390 |
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