Provider Demographics
NPI:1467191700
Name:SYWYJ, BRIDGET (CRNP)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:SYWYJ
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1925 ROUTE 51 STE 100
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3681
Mailing Address - Country:US
Mailing Address - Phone:412-384-9030
Mailing Address - Fax:412-384-9038
Practice Address - Street 1:1925 ROUTE 51 STE 100
Practice Address - Street 2:
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3681
Practice Address - Country:US
Practice Address - Phone:412-384-9030
Practice Address - Fax:412-384-9038
Is Sole Proprietor?:No
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025142363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics