Provider Demographics
NPI:1346870151
Name:LINDQUIST, BRIDGET GLENDIE
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:GLENDIE
Last Name:LINDQUIST
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 1:7366 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-3741
Mailing Address - Country:US
Mailing Address - Phone:951-533-3381
Mailing Address - Fax:
Practice Address - Street 1:7366 GARDEN ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-3741
Practice Address - Country:US
Practice Address - Phone:951-533-3381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider