Healthcare Provider Details

I. General information

NPI: 1578477915
Provider Name (Legal Business Name): BRIDGET ANNE DELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 WELLNESS WAY
STATE COLLEGE PA
16803-6797
US

IV. Provider business mailing address

42 BRAINTREE CMN
FEASTERVILLE TREVOSE PA
19053-1531
US

V. Phone/Fax

Practice location:
  • Phone: 814-231-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: