ELISABETH ANNE BRIDEGROOM RN
NPI 1447767512
Registered Nurse - School in Tucson, AZ
Active since January 10, 2018
About Elisabeth Anne Bridegroom Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISABETH ANNE BRIDEGROOM RN (NPI 1447767512) is an individual school provider in Tucson, Arizona, licensed in Arizona (RN141700) and active in the NPI registry since January 2018.
NPPES Registry Identity
NPI1447767512
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameELISABETH ANNE BRIDEGROOMCredential: RN
Location Address1010 E 10TH STTucson, AZ 85719-5813
Mailing Address1010 E 10th StTucson, AZ 85719-5813 · (520) 225-6100
Phone(520) 225-6100
Sole ProprietorNo
Enumeration DateJanuary 10, 2018
✔ NPI 1447767512 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in AZ · RN141700
1010 E 10TH ST, Tucson, AZ 85719
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447767512, enumerated as an "individual" on January 10, 2018.
The provider is located at 1010 E 10TH ST TUCSON, AZ 85719 and the phone number is (520) 225-6100.
Registered Nurse with taxonomy code 163WS0200X and a focus in School.