Provider Demographics
NPI:1164989687
Name:PLATHE, BRIDGET RACHELLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:RACHELLE
Last Name:PLATHE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11335 S 204TH ST
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:NE
Mailing Address - Zip Code:68028-7871
Mailing Address - Country:US
Mailing Address - Phone:402-332-3936
Mailing Address - Fax:402-408-2535
Practice Address - Street 1:11335 S 204TH ST
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-7871
Practice Address - Country:US
Practice Address - Phone:402-332-3936
Practice Address - Fax:402-408-2535
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE65701163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool