Provider Demographics
NPI:1801416243
Name:FUELLER, BRIDGET K (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:K
Last Name:FUELLER
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 W HEYERDAHL DR
Mailing Address - Street 2:
Mailing Address - City:NEW RIVER
Mailing Address - State:AZ
Mailing Address - Zip Code:85087-5905
Mailing Address - Country:US
Mailing Address - Phone:602-703-9858
Mailing Address - Fax:
Practice Address - Street 1:4505 W HEYERDAHL DR
Practice Address - Street 2:
Practice Address - City:NEW RIVER
Practice Address - State:AZ
Practice Address - Zip Code:85087-5905
Practice Address - Country:US
Practice Address - Phone:602-703-9858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-24
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula