Organization · Type 2 NPI
Bridgecare Provider Group LLC
Primary Care Nurse Practitioner · Wayne, NJ
NPI number
1164148672
Active
Practice location
493 Black Oak Ridge Rd
Wayne, NJ 07470-6501
Mailing address
173 Bridge Plz N
Fort Lee, NJ 07024-7575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
5 other providers at this address
- 493 Black Oak Ridge Road, LLCAssisted Living Facility Wayne, NJ NPI 1619362563
- Christian Philip Dalagan Santos, PT, DPTPhysical Therapist Wayne, NJ NPI 1811164791
- Jillian Beth Woods, MS, OTD, OTR/LOccupational Therapist Wayne, NJ NPI 1558887026
- Olutoyin Folake Adedeji, P.T.Physical Therapist Wayne, NJ NPI 1184830010
- Thomas Michael Berges, APN-CAdult Health Nurse Practitioner Wayne, NJ NPI 1396959847
About NPI 1164148672
Bridgecare Provider Group LLC's National Provider Identifier is 1164148672, issued on Oct 17, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Wayne, NJ. The record was last updated on Oct 17, 2022.