| Bridget Kelleher, NP | |
|
604 Rose Ave, Venice, CA 90291-2767 | |
| (310) 392-8636 | |
| Not Available |
| Full Name | Bridget Kelleher |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 604 Rose Ave, Venice, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245695006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95003447 (California) | Primary |
| Entity Name | Venice Family Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669418513 PECOS PAC ID: 2264339126 Enrollment ID: O20031217001082 |
| Mailing Address | Practice Location Address |
|---|---|
| Bridget Kelleher, NP 604 Rose Ave, Venice, CA 90291-2767 Ph: (310) 392-8636 | Bridget Kelleher, NP 604 Rose Ave, Venice, CA 90291-2767 Ph: (310) 392-8636 |
Yesol Hong, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
James Daryl Simeon Viado, RN, MSN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1746 Abbot Kinney Blvd, Venice, CA 90291 Phone: 310-945-2734 | |
Alain Broulard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1122 Garfield Ave, Venice, CA 90291 Phone: 818-384-0927 | |
Elisabeth Helen Cederblom, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8636 | |
Danielle Sinkford, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8636 | |
Nancy Marie Pierre-paul, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8636 |