Provider Demographics
NPI:1932872231
Name:HEATH-ISIGAN, BRIDGETTE LEE (RN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:BRIDGETTE
Middle Name:LEE
Last Name:HEATH-ISIGAN
Suffix:
Gender:F
Credentials:RN, FNP-BC
Other - Prefix:
Other - First Name:BRIDGETTE
Other - Middle Name:LEE
Other - Last Name:HEATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:212 PERU RD
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:NY
Mailing Address - Zip Code:13073-1217
Mailing Address - Country:US
Mailing Address - Phone:607-378-9726
Mailing Address - Fax:
Practice Address - Street 1:201 DATES DR STE 301
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1345
Practice Address - Country:US
Practice Address - Phone:607-882-2277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-01
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY594155207Q00000X
NY348124207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine