MEDICARE: MRS. BRIDGETTE HARP FNP

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	363LF0000X	Family Nurse Practitioner	AP8670	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881138840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRIDGETTE HARP FNP

Provider Business Mailing Address
First Line	:	9303 N 7TH ST
Second Line	:	UNIT 4
City	:	PHOENIX
State	:	AZ
Zip	:	85020-2531
Country	:	US
Telephone Number	:	602-305-5100
Fax Number	:

Provider Business Practice Location Address
First Line	:	19646 N 27TH AVE STE 403
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-4028
Country	:	US
Telephone Number	:	623-879-4477
Fax Number	:	623-879-4445

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

Provider Enumeration Date	:	12/10/2016
Last Update Date	:	03/17/2018

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