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MS. LISA RENEE BRIDGES NP
Acute Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1083175848
Individual Registrant:MS. LISA RENEE BRIDGES NP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
423 MAGNOLIA ST MARION, AR 72364-2811 US
Tel: 901-562-9464 Fax: --
Tel: 901-562-9464 Fax: --
Contact information for business:
423 MAGNOLIA ST MARION, AR 72364-2811 US
Tel: 901-562-9464 Fax: --
Tel: 901-562-9464 Fax: --
Registration Information:
NPI: 1083175848
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Acute Care | AR | A003446 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| NONE | NONE | 01 |
