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NPI 1356818330

NPI 1356818330 : BRIDGETTE NUNES PA-C : CHESAPEAKE, VA

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General NPI Number Information
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    NPI Number           |    1356818330
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    Entity Type          |    Individual 
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    Provider Name        |    BRIDGETTE NUNES PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/29/2018
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    Last Update Date     |    12/10/2025
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Provider Practice Location Address
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    Address Line         |    744 BATTLEFIELD BLVD N STE 200 
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-4941
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    Country              |    US
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    Telephone            |    757-549-4403
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    Fax                  |    757-549-4332
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Provider Business Mailing Address
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    Address Line         |    6350 CENTER DR 
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    City                 |    NORFOLK
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    State                |    VA
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    Zip                  |    23502-4107
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    Country              |    US
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    Telephone            |    757-905-5558
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    Fax                  |    757-213-5762
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    0110009263
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    License Number State |    VA
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