Individual
MRS. LISA ANN BRIDGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14955 BIG HORN RD, HUSON, MT 59846-9665
(406) 626-9990
Mailing address
14955 BIG HORN RD, HUSON, MT 59846-9665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
142158
NC
163W00000X
Registered Nurse
Primary
31156
MT
163W00000X
Registered Nurse
L1-0022206
DE
Other
Enumeration date
05/13/2012
Last updated
05/13/2012
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