Individual
DONALD MORRIS BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2344 S 1000, LEXINGTON, IN 47138-7163
(812) 866-4520
Mailing address
2344 S 1000, LEXINGTON, IN 47138-7163
(812) 866-4520
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1053520
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
28089297A
IN
367500000X
Certified Registered Nurse Anesthetist
RN602136
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321909
ANTHEM-SIA
IN
05
—
1022545410001
—
PA
05
—
200179250
—
IN
Enumeration date
10/02/2006
Last updated
03/06/2009
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