Provider Demographics
NPI:1457808891
Name:RAMSEY, BRIDGETTE NOELLE (LPN)
Entity type:Individual
Prefix:
First Name:BRIDGETTE
Middle Name:NOELLE
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2922 E WINDMERE DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-7755
Mailing Address - Country:US
Mailing Address - Phone:480-232-0580
Mailing Address - Fax:
Practice Address - Street 1:16440 S 32ND ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-7807
Practice Address - Country:US
Practice Address - Phone:480-706-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP048100164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse