Provider Demographics
NPI:1134665995
Name:RATNER, BRIDGET M
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:M
Last Name:RATNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 64TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-4511
Mailing Address - Country:US
Mailing Address - Phone:941-730-1789
Mailing Address - Fax:
Practice Address - Street 1:2801 FRUITVILLE RD
Practice Address - Street 2:SUITE 120
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-5343
Practice Address - Country:US
Practice Address - Phone:941-914-2263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-17
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9194963363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily