| Doctor Name: | BRIDGET HENLEY |
| NPI Number: | 1093187189 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN2303177 |
| Business Practice Address: | 1479 Newman Ave Seekonk, MA - 027711808 |
| Business Phone Number: | 5083998801 |
| Business Fax Number: | |
| Mailing Address: | 179 E Main Rd, LITTLE COMPTON |
| State: | RI |
| Postal Code: | 028371808 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2015 |
| NPI Last Update Date: | 10/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN2303177 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |