Provider Demographics
NPI:1982401956
Name:ALLISON, BRIDGET DENISE (CRNP)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:DENISE
Last Name:ALLISON
Suffix:
Gender:
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 HARGRAVES DR
Mailing Address - Street 2:
Mailing Address - City:FEDERALSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21632-1088
Mailing Address - Country:US
Mailing Address - Phone:410-754-9021
Mailing Address - Fax:833-908-2285
Practice Address - Street 1:320 HARGRAVES DR
Practice Address - Street 2:
Practice Address - City:FEDERALSBURG
Practice Address - State:MD
Practice Address - Zip Code:21632-1088
Practice Address - Country:US
Practice Address - Phone:410-754-9021
Practice Address - Fax:833-908-2285
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR210057363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner