Provider Demographics
NPI:1356958052
Name:NEVIEW, BRIDGET R (CPHT)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:R
Last Name:NEVIEW
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1726 DEVON ST
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48198-3203
Mailing Address - Country:US
Mailing Address - Phone:404-518-0294
Mailing Address - Fax:
Practice Address - Street 1:10276 BELLEVILLE RD
Practice Address - Street 2:
Practice Address - City:VAN BUREN TWP
Practice Address - State:MI
Practice Address - Zip Code:48111-1698
Practice Address - Country:US
Practice Address - Phone:734-697-4374
Practice Address - Fax:734-697-4752
Is Sole Proprietor?:No
Enumeration Date:2020-09-26
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5303001460183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician