Provider Demographics
NPI:1003784398
Name:BRIDGES HEALTHCARE SERVICE, LLC
Entity type:Organization
Organization Name:BRIDGES HEALTHCARE SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YUNLAY
Authorized Official - Middle Name:QUILLO
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, PMHNP-BC
Authorized Official - Phone:301-267-5090
Mailing Address - Street 1:9767 FRANKFURT DR
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-5345
Mailing Address - Country:US
Mailing Address - Phone:301-267-5090
Mailing Address - Fax:301-267-5090
Practice Address - Street 1:9767 FRANKFURT DR
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-5345
Practice Address - Country:US
Practice Address - Phone:301-267-5090
Practice Address - Fax:301-267-5090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty