MEDICARE: BRIDGET MCNAMARA AUD

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	231H00000X	Audiologist	2201001983	VA

General Provider Information

NPI Number	:	1669217931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET MCNAMARA AUD

Provider Business Mailing Address
First Line	:	12636 IVY MILL RD
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-5137
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1005 N GLEBE RD STE 500
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5702
Country	:	US
Telephone Number	:	703-644-7800
Fax Number	:

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

Provider Enumeration Date	:	06/28/2024
Last Update Date	:	06/28/2024

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Directions to “ BRIDGET MCNAMARA AUD” Practice Location

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