Healthcare Provider Details

I. General information

NPI: 1194615286
Provider Name (Legal Business Name): BRIDGET OWUSU BARNIE MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRIDGET DANSO

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 07/09/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 N 22ND ST
BISMARCK ND
58501-4811
US

IV. Provider business mailing address

722 N 22ND ST
BISMARCK ND
58501-4811
US

V. Phone/Fax

Practice location:
  • Phone: 914-433-3681
  • Fax:
Mailing address:
  • Phone: 914-433-3681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: