Healthcare Provider Details

I. General information

NPI: 1306478011
Provider Name (Legal Business Name): BRIDGET PIERONI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2020
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9841 BROKEN LAND PKWY STE 211
COLUMBIA MD
21046-3068
US

IV. Provider business mailing address

3338 LAWNDALE RD
REISTERSTOWN MD
21136-4026
US

V. Phone/Fax

Practice location:
  • Phone: 443-708-5856
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR160918
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: