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NPI Code Detail

MEDICARE: BRIDGET GOLDFARB CFNP

MEDICARE:   BRIDGET  GOLDFARB  CFNP
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
1363L00000XNurse PractitionerCNP00735NM
2363LF0000XFamily Nurse PractitionerCNP00735NM

General Provider Information

NPI Number : 1619983327
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGET GOLDFARB CFNP
Provider Business Mailing Address
First Line : 933 BRADBURY DR SE
Second Line : SUITE 2222
City : ALBUQUERQUE
State : NM
Zip : 87106-4374
Country : US
Telephone Number : 505-272-8950
Fax Number :
Provider Business Practice Location Address
First Line : 3001 BROADMOOR BLVD NE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87144-2100
Country : US
Telephone Number : 505-994-7147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 10/06/2016

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Directions to “ BRIDGET GOLDFARB CFNP” Practice Location

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