Provider Demographics
NPI:1184104648
Name:SCHULZ, BRIDGET A (APRN)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:A
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:A
Other - Last Name:ANDALORO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:52 CREST AVE
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:MA
Mailing Address - Zip Code:02152-1064
Mailing Address - Country:US
Mailing Address - Phone:617-846-8622
Mailing Address - Fax:617-846-8498
Practice Address - Street 1:52 CREST AVE
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:MA
Practice Address - Zip Code:02152-1064
Practice Address - Country:US
Practice Address - Phone:617-846-8622
Practice Address - Fax:617-846-8498
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN01914363LF0000X
MARN2315036363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily