Individual provider · Type 1 NPI
Bridget Ethamma Vincent, CRNP
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1417140765
Active
Practice location
3400 Spruce St, 6 Penn Tower
Philadelphia, PA 19104
Other practice locations
- 1205 Langhorne Newtown Rd Ste 403, Langhorne, PA 19047-1223 · (215) 710-4460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP009454 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1417140765
Bridget Ethamma Vincent, CRNP's National Provider Identifier is 1417140765, issued on Aug 21, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 14, 2018.