Bridget Alexis Legrazie, RN, APN,C.

Individual provider Active NPI Oncology Clinical Nurse Specialist · Mount Holly, NJ

NPI 1164544714 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164544714
Entity type
Individual (NPI type 1)
Primary specialty
Oncology Clinical Nurse Specialist 364SX0200X
License
26NJ00009400 (NJ)
Practice address
175 Madison Ave
4 Stokes
Mount Holly, NJ 08060-2038
Phone
(609) 267-0700
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ00009400NJMDOncology Clinical Nurse Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinical Nurse Specialist 364SX0200X 26NJ00009400 NJ Yes

Addresses

Primary practice location

175 Madison Ave
4 Stokes
Mount Holly, NJ 08060-2038

Mailing address

421 Collins Ave
Moorestown, NJ 08057-1719
Phone (856) 234-7174

Other providers in Mount Holly, NJ

All providers in Mount Holly, NJ · Oncology Clinical Nurse Specialist in New Jersey

Sources for this page

Verify at the official NPI Registry.