Doctor Name: | BRIDGETTE OLINGER SMITH |
NPI Number: | 1427045384 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 0024062362 |
Business Practice Address: | 306 S Shady Ave Damascus, VA - 24236 |
Business Phone Number: | 2764755116 |
Business Fax Number: | 2764755665 |
Mailing Address: | 602 W Morgan Ave Ste 3, PENNINGTON GAP |
State: | VA |
Postal Code: | 242772037 |
Phone Number: | 2765465310 |
Fax Number: | 2765465469 |
NPI Enumeration Date: | 10/05/2005 |
NPI Last Update Date: | 03/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024062362 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |