Individual provider · NPI-1

Kaila Marie Bridges, FNP

Nurse Practitioner, Family · Farmington, MO

NPI number1962247429
StatusActive
Last updated in NPPESSep 19, 2025

Details

NPI
1962247429
Entity type
Individual (NPI-1)
Name
Kaila Marie Bridges
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 26, 2024
Certification date
Sep 19, 2025
Last updated
Sep 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2024028413MOYes

Other names

  • Kaila Marie Vance (Former Name)

Practice location

534 Maple Valley Dr
Farmington, MO 63640-1981

Phone 573-760-8253

Mailing address

620 Maple Valley Dr
Farmington, MO 63640-1976

Phone 573-454-2466 · Fax 573-454-2544

Other practice locations

55 Nesbit Dr
Bonne Terre, MO 63628-1353

Phone 573-358-1700 · Fax 573-358-1702

620 Maple Valley Dr
Farmington, MO 63640-1976

Phone 573-454-2466 · Fax 573-454-2544

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