Individual
BRIDGET L. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(402) 717-8000
Mailing address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(402) 717-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101170
NE
367500000X
Certified Registered Nurse Anesthetist
209008154
IL
Other
Enumeration date
05/24/2010
Last updated
09/10/2012
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