Provider Demographics
NPI:1659762243
Name:TRYGAR, BRIDGET (RN)
Entity Type:Individual
Prefix:MS
First Name:BRIDGET
Middle Name:
Last Name:TRYGAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MR
Other - First Name:BRIDGET
Other - Middle Name:
Other - Last Name:FRANTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:931 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:CARPINTERIA
Mailing Address - State:CA
Mailing Address - Zip Code:93013-2028
Mailing Address - Country:US
Mailing Address - Phone:805-560-1058
Mailing Address - Fax:805-560-1051
Practice Address - Street 1:931 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:CARPINTERIA
Practice Address - State:CA
Practice Address - Zip Code:93013-2028
Practice Address - Country:US
Practice Address - Phone:805-560-1058
Practice Address - Fax:805-560-1051
Is Sole Proprietor?:No
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA350864163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care