| NPI | 1558947788 |
|---|---|
| Former Name | STEPHANIE L BRIDGEWATER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: IN 71011164A) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: IN 71011164A) |
| 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: IN 28178176A) | |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2023-06-13 |