MEDICARE: MRS. BRIDGETTE M. VEST N.P.

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	363L00000X	Nurse Practitioner	0024166731	VA

General Provider Information

NPI Number	:	1396709754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRIDGETTE M. VEST N.P.

Provider Business Mailing Address
First Line	:	4346 STARKEY RD STE 1
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24018-0605
Country	:	US
Telephone Number	:	540-772-0843
Fax Number	:	540-772-8242

Provider Business Practice Location Address
First Line	:	4346 STARKEY RD STE 1
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24018-0605
Country	:	US
Telephone Number	:	540-772-0843
Fax Number	:	540-772-8242

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	07/10/2025

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