# SHANE BRIDGMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447762380
- **Gender:** Man
- **Credential:** DNP, APRN, AGNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 0033013 | OH | — |
| 363L00000X | Nurse Practitioner | 10040595 | OR | — |
| 363L00000X | Nurse Practitioner | 1112411 | TX | — |
| 363L00000X | Nurse Practitioner | 2024045190 | MO | — |
| 363L00000X | Nurse Practitioner | 209028336 | IL | — |
| 363L00000X | Nurse Practitioner | 291383 | AZ | — |
| 363L00000X | Nurse Practitioner | 29997 | SC | — |
| 363L00000X | Nurse Practitioner | 3-001918 | AL | — |
| 363L00000X | Nurse Practitioner | 38021 | TN | — |
| 363L00000X | Nurse Practitioner | 4035372 | KY | — |
| 363L00000X | Nurse Practitioner | 907225 | MS | — |
| 363L00000X | Nurse Practitioner | C-APN.0102962-C-NP | CO | — |
| 363L00000X | Nurse Practitioner | SP032050 | PA | — |
| 363LA2200X | Adult Health Nurse Practitioner | APRN9325995 | FL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | APRN9325995 | FL | — |

## Other

- **Enumeration date:** 11/01/2017
- **Last updated:** 12/15/2025