Provider Demographics
NPI:1821139734
Name:HOWARD, BRIDGET O (CNM)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:O
Last Name:HOWARD
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3400 SPRUCE ST
Mailing Address - Street 2:5 PENN TOWER
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4206
Mailing Address - Country:US
Mailing Address - Phone:215-662-2990
Mailing Address - Fax:215-349-5228
Practice Address - Street 1:3400 SPRUCE ST
Practice Address - Street 2:5 PENN TOWER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4206
Practice Address - Country:US
Practice Address - Phone:215-662-2990
Practice Address - Fax:215-349-5228
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2012-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMW010055367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife