Individual
SUSAN LYNN BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 259-6710
(502) 259-6704
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1044245
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3003717
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000283631
ANTHEM BLUE SHIELD
KY
05
—
201282770
—
IN
01
—
2818457000
PASSPORT ADVANTAGE
KY
01
—
430080220
RAILROAD MEDICARE
KY
01
—
50013922
PASSPORT
KY
05
—
74466129
—
KY
Enumeration date
10/04/2005
Last updated
03/01/2023
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