Provider Demographics
NPI:1801341821
Name:DEFRANCE, BRIDGETTE (AGPCNP-BC)
Entity type:Individual
Prefix:
First Name:BRIDGETTE
Middle Name:
Last Name:DEFRANCE
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N WAYNE RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-3628
Mailing Address - Country:US
Mailing Address - Phone:734-522-7000
Mailing Address - Fax:734-522-7012
Practice Address - Street 1:400 N WAYNE RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-3628
Practice Address - Country:US
Practice Address - Phone:734-522-7000
Practice Address - Fax:734-522-7012
Is Sole Proprietor?:No
Enumeration Date:2016-08-19
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704276382207QA0505X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine