Provider Demographics
NPI:1598102329
Name:NARVAEZ, BRIDGET (RN)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:NARVAEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:
Other - Last Name:WATTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2075 LAKEWOOD CLUB DR S
Mailing Address - Street 2:APT. A
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-4978
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2075 LAKEWOOD CLUB DR S
Practice Address - Street 2:APT. A
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-4978
Practice Address - Country:US
Practice Address - Phone:727-215-6395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9358721390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program