Provider Demographics
NPI:1861295214
Name:KEMAVOR, BRIDGET (DNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:
Last Name:KEMAVOR
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2244 MORRIS AVE APT 4H
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-2011
Mailing Address - Country:US
Mailing Address - Phone:929-360-4335
Mailing Address - Fax:
Practice Address - Street 1:2244 MORRIS AVE APT 4H
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-2011
Practice Address - Country:US
Practice Address - Phone:929-360-4335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY356390363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily