Individual
BRIDGETTE NIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8028 CARNEGIE BLVD STE 300, FORT WAYNE, IN 46804-5788
(260) 425-6650
(260) 755-6233
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28236136A
IN
367A00000X
Advanced Practice Midwife
Primary
09000504A
IN
Other
Enumeration date
03/26/2025
Last updated
09/02/2025
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