Individual
BRIDGET A. WITSKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3834 S EMERSON AVE, BUILDING C, SUITE 100, INDIANAPOLIS, IN 46203
(317) 782-1577
(888) 366-7577
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(317) 782-1577
(317) 780-5538
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28164206A
IN
363L00000X
Nurse Practitioner
Primary
71003392A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201002490
—
IN
Enumeration date
11/15/2010
Last updated
10/09/2018
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