Provider Demographics
NPI:1851408207
Name:BRIDGEMAN, RACHEL ELISABETH (APRN-BC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELISABETH
Last Name:BRIDGEMAN
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ELISABETH
Other - Last Name:STEPHENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-BC
Mailing Address - Street 1:126 POPLAR GROVE CONNECTOR
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-6068
Mailing Address - Country:US
Mailing Address - Phone:828-264-6635
Mailing Address - Fax:828-265-3101
Practice Address - Street 1:126 POPLAR GROVE CONNECTOR
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-6068
Practice Address - Country:US
Practice Address - Phone:828-264-6635
Practice Address - Fax:828-265-3101
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC50-20248363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner