Provider Demographics
NPI:1013325927
Name:BRIDEN, NEILE ELAINE (APRN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:NEILE
Middle Name:ELAINE
Last Name:BRIDEN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:MS
Other - First Name:NEILE
Other - Middle Name:ELAINE
Other - Last Name:BUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:910 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:NORMANGEE
Mailing Address - State:TX
Mailing Address - Zip Code:77871
Mailing Address - Country:US
Mailing Address - Phone:936-396-2806
Mailing Address - Fax:936-396-9000
Practice Address - Street 1:910 MAIN STREET
Practice Address - Street 2:
Practice Address - City:NORMANGEE
Practice Address - State:TX
Practice Address - Zip Code:77871
Practice Address - Country:US
Practice Address - Phone:936-396-2806
Practice Address - Fax:936-396-9000
Is Sole Proprietor?:No
Enumeration Date:2014-07-24
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX741598163W00000X, 363LF0000X
TXAP126131363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily