Individual provider · Type 1 NPI

Bridget Martin-Slocum, ACNP-AG

Nurse Practitioner · Ithaca, NY

NPI number 1912458563 Active

Practice location

201 Dates Dr Ste 301
Ithaca, NY 14850-1345

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X431039 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1912458563

Bridget Martin-Slocum, ACNP-AG's National Provider Identifier is 1912458563, issued on Oct 19, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ithaca, NY. The record was last updated on May 22, 2026.