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MS. LISA RENEE BRIDGES NP

Acute Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1083175848

Individual Registrant:
MS. LISA RENEE BRIDGES NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
423 MAGNOLIA ST  MARION, AR 72364-2811 US
Tel: 901-562-9464  Fax: --

Contact information for business:
423 MAGNOLIA ST  MARION, AR 72364-2811 US
Tel: 901-562-9464  Fax: --

Registration Information:
NPI: 1083175848
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2100XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Acute Care
ARA003446

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
NONENONE01




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