| Doctor Name: | MS. TANIS SHARON BRIDGES |
| NPI Number: | 1003190745 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REGISTERED NURSE |
| License Number: | 184644-1 |
| Business Practice Address: | 261 Elmdorf Avenue Rochester, NY - 14619 |
| Business Phone Number: | 5855278391 |
| Business Fax Number: | |
| Mailing Address: | 261 Elmdorf Avenue, ROCHESTER |
| State: | NY |
| Postal Code: | 14619 |
| Phone Number: | 5855278391 |
| Fax Number: | |
| NPI Enumeration Date: | 09/29/2011 |
| NPI Last Update Date: | 09/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WI0500X |
| License Number: | 184644-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Infusion Therapy |
| Taxonomy Definition: | |