Provider Demographics
NPI:1588309397
Name:VERA, BRIDGET (DNP, APRN, AGPCNP-BC)
Entity type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:
Last Name:VERA
Suffix:
Gender:F
Credentials:DNP, APRN, AGPCNP-BC
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:
Other - Last Name:FREITAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:350 NW 84TH AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1859
Mailing Address - Country:US
Mailing Address - Phone:954-999-0925
Mailing Address - Fax:
Practice Address - Street 1:350 NW 84TH AVE STE 207
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1859
Practice Address - Country:US
Practice Address - Phone:954-913-7901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-05
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11014328363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care