| Doctor Name: | BRIDGET E SURANIE |
| NPI Number: | 1093029738 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | TP006292C |
| Business Practice Address: | 100 E. Lancaster Ave Jd Lankenau Pavilion, Mezzanine Wynnewood, PA - 190963450 |
| Business Phone Number: | 4844761000 |
| Business Fax Number: | 4844769000 |
| Mailing Address: | 100 E. Lancaster Ave, Jd Lankenau Pavilion, Mezzanine WYNNEWOOD |
| State: | PA |
| Postal Code: | 190963450 |
| Phone Number: | 4844761000 |
| Fax Number: | 4844769000 |
| NPI Enumeration Date: | 08/05/2010 |
| NPI Last Update Date: | 10/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | TP006292C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |