NPI 1215691365
Bridgae Dickerson
Practice location
- Address
- 1775 E McKinley St APT 237, Phoenix, AZ 85006-3721
- Phone
- (602) 226-1653
- Mailing address
- 4600 E Washington St STE 300, Phoenix, AZ 85034-1908
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1215691365
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Oct 2021
- Record last updated
- 25 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.