MEDICARE: BRIDGET SHU APRN-CNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1058535	TX

General Provider Information

NPI Number	:	1407591415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET SHU APRN-CNP

Provider Business Mailing Address
First Line	:	4601 HOLLOW TREE DR STE 111
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-1288
Country	:	US
Telephone Number	:	817-546-8000
Fax Number	:	817-345-0465

Provider Business Practice Location Address
First Line	:	4601 HOLLOW TREE DR STE 111
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-1288
Country	:	US
Telephone Number	:	817-546-8000
Fax Number	:	817-345-0465

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

Provider Enumeration Date	:	05/03/2022
Last Update Date	:	03/16/2026

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Directions to “ BRIDGET SHU APRN-CNP” Practice Location

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