Bridget Rose Davidson CNM

NPI 1285990911 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1285990911
Gender Female
Enumeration Date 04/06/2012
Last Updated 03/02/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
5140 N CALIFORNIA AVE
STE 635
CHICAGO IL, 60625-3645, US
Phone (773) 989-6200
Fax
Business Location
2740 W FOSTER AVE
LL7
CHICAGO IL, 60625-3500, US
Phone (773) 878-8200
Fax (773) 293-4197
Toxanomy
Taxonomy Code 367A00000X
License State Illinois
License Number 209009174
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According to our database, Bridget Rose Davidson CNM NPI is 1285990911, taxonomy code is 367A00000X and license number is 209009174, license state is located at Illinois. Bridget Rose Davidson CNM physically located at 5140 N California Ave, Chicago IL, 60625-3645. NPI Number Bridget Rose Davidson CNM has the Individual type.

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1285990911 NPI number is provided on an as is basis without warranty of any kind. 1285990911 is maintained by the National Plan & Provider Enumeration System. The contents of Bridget Rose Davidson CNM are for informational purposes only.