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LAURA T. BRIDGMAN F.N.P., N.D.

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1043315658

Individual Registrant:
 LAURA T. BRIDGMAN F.N.P., N.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
218 COTTRELL RD  DIXMONT, ME 04932-3246 US
Tel: 207-512-0584  Fax: --

Contact information for business:
268 STATE ST  BANGOR, ME 04401-5417 US
Tel: 207-512-0584  Fax: --

Registration Information:
NPI: 1043315658
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MER026043

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
246520000ME05




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