Patricia Ann Bridewell
Nurse Practitioner (Family)

Address: 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045
Phone: 3106622000

Patricia Ann Bridewell (NPI# 1386171585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1386171585
Entity Type Individual
Full Name Patricia Ann Bridewell
Credential NURSE PRACTITIONER
Gender Female
Practice Address 5245 Concourse Drive
Suite 100
Los Angeles
CA 90045
Practice Telephone 3106622000
Mailing Address 14530 Lemoli Ave Apt 10
Hawthorne
CA 90250-9017
Mailing Telephone 3233650290
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2017-05-18
Last Update Date 2017-11-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 163W00000X Registered Nurse Nursing Service Providers 536499 CA
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 95005599 CA

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

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Office Location

Street Address 5245 CONCOURSE DRIVE
SUITE 100
City LOS ANGELES
State CA
Zip Code 90045

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NPI Name Taxonomy Address Enumeration
1396388849 Laska Dental Inc Dentist 5602 W Manchester Ave, Los Angeles, CA 90045 2019-10-28
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1821504002 Rhonda Taylor Counselor 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 2017-12-24
1114436839 Blanca Melisa Gomez I Case Manager/Care Coordinator 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 2017-09-26
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1568984185 Angela Mull Marriage & Family Therapist 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 2017-07-14
1679937627 Thelese Consulting Group Social Worker 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 2016-04-06
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Competitor

Search similar providers

City LOS ANGELES
Zip Code 90045

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.