Bridge & Bloom Psychiatry, PLLC
Nurse Practitioner, Psych/Mental Health in Braintree, MA. Organization (NPI-2).
NPI number1366354516
StatusActive
Last updated in NPPESSep 22, 2026
Details
- NPI
- 1366354516
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridge & Bloom Psychiatry, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2026
- Certification date
- Sep 18, 2026
- Last updated
- Sep 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
150 Grossman Dr Ste 205Braintree, MA 02184-4947
Phone 617-852-3925
Mailing address
150 Grossman Dr Ste 205Braintree, MA 02184-4947
Phone 617-852-3925
Authorized official
Xuan Nguyen
Nurse Practitioner
6178523925
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