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General NPI Number Information
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NPI Number | 1932910064
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Entity Type | Individual
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Provider Name | BRIDGET WINTZ MSN, CNP
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Gender | Female
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 5505 JOHN F KENNEDY BLVD
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72116-6707
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Country | US
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Telephone | 501-992-9150
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Fax |
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Provider Business Mailing Address
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Address Line | 15 CAROLINE CV
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City | WARD
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State | AR
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Zip | 72176-7002
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Country | US
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Telephone | 501-288-7044
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 231538
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License Number State | AR
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