Provider Demographics
NPI:1821481003
Name:PARAPPURATH, BRIDGET GEORGE (NP-C)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:GEORGE
Last Name:PARAPPURATH
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9710 JEANES ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-1902
Mailing Address - Country:US
Mailing Address - Phone:215-494-6753
Mailing Address - Fax:
Practice Address - Street 1:9500 NORTHEAST AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-3005
Practice Address - Country:US
Practice Address - Phone:215-677-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013192363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily