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Kathleen Rose Dunham Bridges, FNP

Nurse Practitioner in Lyons, GA. Individual provider (NPI-1).

NPI number1033262829
StatusActive
Last updated in NPPESApr 5, 2021

Details

NPI
1033262829
Entity type
Individual (NPI-1)
Name
Kathleen Rose Dunham Bridges
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2007
Certification date
Mar 15, 2021
Last updated
Apr 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerRN076524GAYes
363LF0000X Nurse Practitioner, FamilyRN076524GA

Practice location

110 R T Stanley Sr Place
Lyons, GA 30436

Phone 912-526-9355 · Fax 912-526-8622

Mailing address

110 Rt Stanley Senior Pl
Lyons, GA 30436

Phone 912-537-4986

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Other Nurse Practitioner providers in Lyons, GA

All 5 Nurse Practitioner providers in Lyons · All 70 providers in Lyons

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