Provider Demographics
NPI:1548647753
Name:GUZZI, BRIDGET ANN (RN IBCLC)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:ANN
Last Name:GUZZI
Suffix:
Gender:F
Credentials:RN IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10589 MAPLE CHASE DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-4810
Mailing Address - Country:US
Mailing Address - Phone:561-414-6758
Mailing Address - Fax:561-826-8554
Practice Address - Street 1:10589 MAPLE CHASE DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-4810
Practice Address - Country:US
Practice Address - Phone:561-414-6758
Practice Address - Fax:561-826-8554
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2698262163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant