Bridwell, Andrea Dee

Bridwell, Andrea Dee is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Bridwell, Andrea Dee can be contacted via phone (602) 933-6345.

Contact Information

Primary practice address
1919 E Thomas Rd Phoenix AZ 85016-7710
Phone: (602) 933-6345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X AP2989 Arizona

Profile Details

NPI number 1104002880
LBN Legal business name Bridwell, Andrea Dee
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2008
Last updated Jun 21st, 2024 - about last year

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 1104002880 NPPES
Arizona MEDICAID 341697

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