Provider Demographics
NPI:1306425905
Name:KIRKBRIDE, CLAIRE LYNNETTE (MSN, RN, ACNS-BC)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:LYNNETTE
Last Name:KIRKBRIDE
Suffix:
Gender:F
Credentials:MSN, RN, ACNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 TOWER HILL RD
Mailing Address - Street 2:
Mailing Address - City:APPOMATTOX
Mailing Address - State:VA
Mailing Address - Zip Code:24522-5004
Mailing Address - Country:US
Mailing Address - Phone:757-348-1379
Mailing Address - Fax:
Practice Address - Street 1:741 TOWER HILL RD
Practice Address - Street 2:
Practice Address - City:APPOMATTOX
Practice Address - State:VA
Practice Address - Zip Code:24522-5004
Practice Address - Country:US
Practice Address - Phone:757-348-1379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0015000982364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health