Provider Demographics
NPI:1316083298
Name:BRIDGES, CHERYL DIANNA (DNP, MS, MBA, ACNP)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:DIANNA
Last Name:BRIDGES
Suffix:
Gender:F
Credentials:DNP, MS, MBA, ACNP
Other - Prefix:
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Mailing Address - Street 1:14 CONSTITUTION SQ
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3546
Mailing Address - Country:US
Mailing Address - Phone:410-267-9065
Mailing Address - Fax:410-295-9013
Practice Address - Street 1:600 NORTH WOLFE STREET
Practice Address - Street 2:HALSTED 599
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-955-5704
Practice Address - Fax:410-614-2845
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2010-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDR096699363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care