Provider Demographics
NPI:1982596169
Name:BRIDGE INTEGRATIVE HEALTH AND NUTRITION
Entity type:Organization
Organization Name:BRIDGE INTEGRATIVE HEALTH AND NUTRITION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND PRINCIPAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CNS, LDN
Authorized Official - Phone:302-536-9355
Mailing Address - Street 1:PO BOX 15116
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-0116
Mailing Address - Country:US
Mailing Address - Phone:302-536-9355
Mailing Address - Fax:866-406-7798
Practice Address - Street 1:4316 ALABAMA AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-3001
Practice Address - Country:US
Practice Address - Phone:302-536-9355
Practice Address - Fax:866-406-7798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health