Provider Demographics
NPI:1558961300
Name:BRIDGE, SARAH (CNS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BRIDGE
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 PATRIOT DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-8594
Mailing Address - Country:US
Mailing Address - Phone:302-893-6667
Mailing Address - Fax:
Practice Address - Street 1:103 PATRIOT DR STE 105
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-8506
Practice Address - Country:US
Practice Address - Phone:302-893-6667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education