Provider Demographics
NPI:1801117338
Name:NOLAN, BRIDGIT (MD)
Entity type:Individual
Prefix:
First Name:BRIDGIT
Middle Name:
Last Name:NOLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4475 MEDICAL CENTER WAY STE 2
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3240
Mailing Address - Country:US
Mailing Address - Phone:561-863-1000
Mailing Address - Fax:561-863-1319
Practice Address - Street 1:6140 W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8409
Practice Address - Country:US
Practice Address - Phone:561-498-4407
Practice Address - Fax:561-498-4480
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2021-03-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME118457207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHW448ZMedicare UPIN