Provider Demographics
NPI:1629229810
Name:BRIGDEN, CATHERINE MAE (LPN)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MAE
Last Name:BRIGDEN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 173
Mailing Address - Street 2:
Mailing Address - City:WARNERS
Mailing Address - State:NY
Mailing Address - Zip Code:13164-0173
Mailing Address - Country:US
Mailing Address - Phone:315-708-5138
Mailing Address - Fax:
Practice Address - Street 1:6800 CANTON ST
Practice Address - Street 2:
Practice Address - City:WARNERS
Practice Address - State:NY
Practice Address - Zip Code:13164-9773
Practice Address - Country:US
Practice Address - Phone:315-708-5138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165222-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse