Provider Demographics
NPI:1033451000
Name:ASANA, BRIDGET BIH AMBE
Entity Type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:BIH AMBE
Last Name:ASANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 METZEROTT RD APT 506
Mailing Address - Street 2:
Mailing Address - City:ADELPHI
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3481
Mailing Address - Country:US
Mailing Address - Phone:301-760-6433
Mailing Address - Fax:
Practice Address - Street 1:1828 METZEROTT RD APT 506
Practice Address - Street 2:
Practice Address - City:ADELPHI
Practice Address - State:MD
Practice Address - Zip Code:20783-3481
Practice Address - Country:US
Practice Address - Phone:301-760-6433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-18
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC34251164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1033451000OtherHHA