Wekenborg, Bridgett Ann

Wekenborg, Bridgett Ann is an individual health care provider with primary practice located at 404 N Keene St Dc608.00, Columbia MO 65201-6626. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wekenborg, Bridgett Ann can be contacted via phone (573) 771-4265.

Contact Information

Primary practice address
404 N Keene St Dc608.00 Columbia MO 65201-6626
Phone: (573) 771-4265
Fax: (573) 219-4292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2012030997 Missouri

Profile Details

NPI number 1912258195
LBN Legal business name Wekenborg, Bridgett Ann
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2012
Last updated Oct 28th, 2016 - about 9 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 1912258195 NPPES
Missouri MEDICAID 1912258195

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