Individual
MARY KATHERINE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, AGACNP
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 280-2200
Mailing address
12078 GRAND OAKS DR, GULFPORT, MS 39503-5683
(865) 228-4036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
927072
MS
363L00000X
Nurse Practitioner
Primary
226773
LA
363L00000X
Nurse Practitioner
906858
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN289947
GEORGIA BOARD OF NURSING
—
Enumeration date
09/17/2019
Last updated
02/26/2025
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