Mrs Renee L Bridges, FNP | |
117 Commons Way, Greenville, SC 29611-3850 | |
(864) 970-2273 | |
Not Available |
Full Name | Mrs Renee L Bridges |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 117 Commons Way, Greenville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053884247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 21968 (South Carolina) | Primary |
Entity Name | Itrust Cares Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225751068 PECOS PAC ID: 5092189712 Enrollment ID: O20230321001191 |
Mailing Address | Practice Location Address |
---|---|
Mrs Renee L Bridges, FNP 191 Redcroft Dr, Greer, SC 29651-7004 Ph: () - | Mrs Renee L Bridges, FNP 117 Commons Way, Greenville, SC 29611-3850 Ph: (864) 970-2273 |
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