Provider Demographics
NPI:1326602053
Name:BRIDGES, RYKEYLA (BSN, RN)
Entity Type:Individual
Prefix:
First Name:RYKEYLA
Middle Name:
Last Name:BRIDGES
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2224 JENNY DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-4532
Mailing Address - Country:US
Mailing Address - Phone:470-301-9510
Mailing Address - Fax:
Practice Address - Street 1:2224 JENNY DR
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-4532
Practice Address - Country:US
Practice Address - Phone:470-301-9510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN259831163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse