MEDICARE: BRIDGET R NEVIEW CPHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183700000X	Pharmacy Technician	5303001460	MI

General Provider Information

NPI Number	:	1356958052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET R NEVIEW CPHT

Provider Business Mailing Address
First Line	:	1726 DEVON ST
Second Line	:
City	:	SUPERIOR TOWNSHIP
State	:	MI
Zip	:	48198-3203
Country	:	US
Telephone Number	:	404-518-0294
Fax Number	:

Provider Business Practice Location Address
First Line	:	10276 BELLEVILLE RD
Second Line	:
City	:	VAN BUREN TWP
State	:	MI
Zip	:	48111-1698
Country	:	US
Telephone Number	:	734-697-4374
Fax Number	:	734-697-4752

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2020
Last Update Date	:	09/26/2020

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Directions to “ BRIDGET R NEVIEW CPHT” Practice Location

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