Doctor Name: | MRS. JUNE STARLET BRIDGEMAN |
NPI Number: | 1003041138 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 115817 |
Business Practice Address: | 318 Turnersburg Hwy Statesville, NC - 286252798 |
Business Phone Number: | 7048785300 |
Business Fax Number: | 7048785311 |
Mailing Address: | 318 Turnersburg, STATESVILLE |
State: | NC |
Postal Code: | 28625 |
Phone Number: | 7048785300 |
Fax Number: | 7048785311 |
NPI Enumeration Date: | 05/19/2009 |
NPI Last Update Date: | 05/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 115817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |