| NPI | 1558344366 |
|---|---|
| Former Name | BRIDGET ANN FOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP3241) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN155655) |
| 363L00000X Nurse Practitioner (Licence: MO 110333) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 110333) | |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2020-09-08 |