Healthcare Provider Details

I. General information

NPI: 1083098693
Provider Name (Legal Business Name): BRIDGET MARY HEHIR PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 N MAIN ST STE B
PLYMOUTH MI
48170-1238
US

IV. Provider business mailing address

221 N MAIN ST STE D
PLYMOUTH MI
48170-1238
US

V. Phone/Fax

Practice location:
  • Phone: 734-215-7399
  • Fax: 734-656-7299
Mailing address:
  • Phone: 734-215-7399
  • Fax: 734-656-7299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704274197
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: