DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LARRY JOE BRIDWELL JR., FNP

Active Sole Proprietor

Registered Nurse · OAKLAND, CA

Registration Details

NPI Number
1043362296
Provider Type
Individual
Gender
Male
NPI Issued
Jan 17, 2007 (19.277102224941 yrs)
Last Updated
Feb 11, 2022
License
547388 (CA)
Sole Proprietor
Yes

Practice Information

Address
280 W MACARTHUR BLVD
OAKLAND, CA, 946115642
Browse CA providers · Browse ZIP 94611
Phone
5107520164
Fax
5107527014
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in OAKLAND, CA

Name Credential NPI
WINNIE KWOK-HAN LEUNG RN 1790887099
SCOTT TAYLOR RN 1174626485
EXIA LOLLINNE SIKES RN 1871693051
MRS. LILIYA KNOP 1417003765
MRS. KAREN STEPHENSON RN 1750425989
MRS. LISA ANNE LEFEBRE RN 1760518450
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.