Provider Demographics
NPI:1891925715
Name:HARGUS, BRIDGET RYANNE (FNP, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:RYANNE
Last Name:HARGUS
Suffix:
Gender:F
Credentials:FNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 WILLOW ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-1028
Mailing Address - Country:US
Mailing Address - Phone:812-885-8030
Mailing Address - Fax:
Practice Address - Street 1:700 WILLOW ST
Practice Address - Street 2:SUITE 201
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1028
Practice Address - Country:US
Practice Address - Phone:812-885-8030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002995B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily