Active NPI
Bridan Healthcare, LLC
- Women's Health Nurse Practitioner
- Westampton, NJ
National Provider Identifier
1154610772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 26NN10281700
- Legal business name
- BRIDAN HEALTHCARE, LLC
- Practice address
- 64 Bentwood Dr
Westampton, NJ 08060-5640 - Phone
- (609) 410-7942
- Fax
- (609) 871-4002
- NPI assigned
- Apr 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Valerie Dawn Fulton, APN/CRNP
- Title
- Nurse Practitioner
- Phone
- (609) 410-7942
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | SP010784 | PA | |
| Women's Health Nurse Practitioner | 363LW0102X | 26NN10281700 | NJ | Primary |
Addresses
Primary practice location
64 Bentwood Dr
Westampton, NJ 08060-5640
Mailing address
64 Bentwood Dr
Westampton, NJ 08060-5640
Phone (609) 410-7942
National Provider Directory
National Provider DirectoryLocations
702 Main St
Unit 695
Lumberton, NJ 08048
100 Technology Way
Ste 355
Mount Laurel, NJ 08054
2001 Market St
Fl 5
Philadelphia, PA 19103
Phone (212) 894-8668
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Union, NJ
- NPI 1376716852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301875200000",
"number": "1154610772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 BENTWOOD DR",
"city": "WESTAMPTON",
"state": "NJ",
"postal_code": "080605640",
"telephone_number": "609-410-7942",
"fax_number": "609-871-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 BENTWOOD DR",
"city": "WESTAMPTON",
"state": "NJ",
"postal_code": "080605640",
"telephone_number": "609-410-7942",
"fax_number": "609-871-4002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDAN HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-04",
"last_updated": "2011-04-04",
"status": "A",
"authorized_official_last_name": "FULTON",
"authorized_official_first_name": "VALERIE",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "609-410-7942",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APN/CRNP"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "SP010784",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "NJ",
"license": "26NN10281700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westampton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.