MEDICARE: BRIDGETT HANSFORD

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	4046364	KY
2	363L00000X	Nurse Practitioner	124087	WV

General Provider Information

NPI Number	:	1699640565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGETT HANSFORD

Provider Business Mailing Address
First Line	:	4044 FARMINGTON DR
Second Line	:
City	:	HURRICANE
State	:	WV
Zip	:	25526-8756
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18451 DALLAS PKWY STE 130
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-5202
Country	:	US
Telephone Number	:	877-443-4006
Fax Number	:

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

Provider Enumeration Date	:	10/09/2025
Last Update Date	:	10/09/2025

Similar Medicare Providers

1346742376 — BOND PHARMACY INC
Practice Location Address:

18451 DALLAS PKWY STE 125
DALLAS, TX
75287-5202

Practice Phone: 877-443-4006
Practice Fax:

1013492735 — 1ST AMERICA INFUSION SERVICES LLC
Practice Location Address:

18451 DALLAS PKWY STE 130
DALLAS, TX
75287-5202

Practice Phone: 601-988-1700
Practice Fax:

1912527441 — MARINDA RAE HOWARD
Practice Location Address:

18451 DALLAS PKWY STE 130
DALLAS, TX
75287-5202

Practice Phone: 833-885-5812
Practice Fax: 833-885-5813

1053912568 — KHUSBU BHIKHA PHARMD
Practice Location Address:

18451 DALLAS PKWY
DALLAS, TX
75287-5202

Practice Phone: 877-443-4006
Practice Fax: 888-298-2220

1891687430 — KATRINA KAGLER HARPER PHARMD, BCSCP
Practice Location Address:

18451 DALLAS PKWY STE 130
DALLAS, TX
75287-5202

Practice Phone: 833-885-5812
Practice Fax: 844-259-0209

1598294738 — DR. FIORELLA GIOVANNA VICENTY-LATORRE MD
Practice Location Address:

6201 HARRY HINES BLVD
DALLAS, TX
75235-5202

Practice Phone: 469-852-9686
Practice Fax:

Directions to “ BRIDGETT HANSFORD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.