Doctor Name: | ASHLEY L BRIDGES |
NPI Number: | 1982961967 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | AP05472 |
Business Practice Address: | 153 Ben Bridges Rd Downsville, LA - 712345439 |
Business Phone Number: | 3189821771 |
Business Fax Number: | |
Mailing Address: | 153 Ben Bridges Rd, DOWNSVILLE |
State: | LA |
Postal Code: | 712345439 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/16/2012 |
NPI Last Update Date: | 04/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LN0000X |
License Number: | AP05472 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Neonatal |
Taxonomy Definition: |