BRIDGETTE DOUGLAS NPI 1205286663

NPI Information

NPI: 1205286663
Provider Name: BRIDGETTE DOUGLAS
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
3940 STATE RD
FORT GRATIOT, MI
ZIP 48059
Phone: (810) 300-6885
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Bridgette Douglas is a licensed practical nurse in Fort Gratiot, MI. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Bridgette Douglas NPI is 1205286663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3940 STATE RD
FORT GRATIOT, MI
ZIP 48059-061
Phone: (810) 300-6885

The enumeration date for this NPI number is 6/16/2016 and was last updated on 6/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		4703113131	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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