Provider Demographics
NPI:1891052973
Name:BRIDGEWATER, CYNTHIA FISH (CRNP)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:FISH
Last Name:BRIDGEWATER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:804 NARROWS POINT DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-8610
Mailing Address - Country:US
Mailing Address - Phone:205-408-5682
Mailing Address - Fax:205-975-9545
Practice Address - Street 1:1600 4TH AVE SOUTH
Practice Address - Street 2:CPP210
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1711
Practice Address - Country:US
Practice Address - Phone:205-939-5282
Practice Address - Fax:205-978-9545
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-029931363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics