Healthcare Provider Details

I. General information

NPI: 1821950643
Provider Name (Legal Business Name): BRIDGET LYNN CANFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50912 TOWNSHIP ROAD 15
COSHOCTON OH
43812-9820
US

IV. Provider business mailing address

50912 TOWNSHIP ROAD 15
COSHOCTON OH
43812-9820
US

V. Phone/Fax

Practice location:
  • Phone: 313-412-7022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: