Individual
BRIDGET DAWN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4210 PIONEER WOODS DR, SUITE A, LINCOLN, NE 68506-7561
(402) 488-4321
(402) 488-4355
Mailing address
4210 PIONEER WOODS DR, SUITE A, LINCOLN, NE 68506-7561
(402) 488-4321
(402) 488-4355
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1334
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1334
NEBRASKA STATE LISENCE
NE
Enumeration date
07/23/2007
Last updated
01/24/2014
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