Provider Demographics
NPI:1922717743
Name:COLLINS, BRIDGETT (NP)
Entity Type:Individual
Prefix:
First Name:BRIDGETT
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 N THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-4587
Mailing Address - Country:US
Mailing Address - Phone:575-941-2500
Mailing Address - Fax:575-941-2503
Practice Address - Street 1:1031 N THOMAS ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-4587
Practice Address - Country:US
Practice Address - Phone:575-941-2500
Practice Address - Fax:575-941-2503
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP70794363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care