Provider Demographics
NPI:1801511530
Name:KRAUTKRAMER, BRIDGET LUCY (RN)
Entity type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:LUCY
Last Name:KRAUTKRAMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:LUCY
Other - Last Name:RITGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:160 HARRYS GTWY
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54914-8747
Mailing Address - Country:US
Mailing Address - Phone:920-460-0000
Mailing Address - Fax:
Practice Address - Street 1:160 HARRYS GTWY
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-8747
Practice Address - Country:US
Practice Address - Phone:920-460-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI164077-030163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health