Provider Demographics
NPI:1013962059
Name:BRINGARDNER, KIRSTEN CHEREE (PA-C)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:CHEREE
Last Name:BRINGARDNER
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:30 LOCUST ST
Mailing Address - Street 2:COOLEY DICKINSON HOSPITALIST PROGRAM
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2052
Mailing Address - Country:US
Mailing Address - Phone:413-582-2563
Mailing Address - Fax:413-582-2566
Practice Address - Street 1:30 LOCUST ST
Practice Address - Street 2:COOLEY DICKINSON HOSPITALIST PROGRAM
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2052
Practice Address - Country:US
Practice Address - Phone:413-582-2563
Practice Address - Fax:413-582-2566
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2078363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant