Provider Demographics
NPI:1568668689
Name:MORAN, BRIDGET MARY (CNM)
Entity Type:Individual
Prefix:MS
First Name:BRIDGET
Middle Name:MARY
Last Name:MORAN
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:11 TECHNOLOGY DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2302
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3998 VISTA WAY STE C
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4514
Practice Address - Country:US
Practice Address - Phone:760-941-1440
Practice Address - Fax:760-630-5477
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA1040367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife