Provider Demographics
NPI:1134837784
Name:OBI, BRIDGET ARRAH-ETCHU (DNP)
Entity type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:ARRAH-ETCHU
Last Name:OBI
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:ARRAH
Other - Last Name:ETCHU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:700 SW HIGGINS AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-1489
Mailing Address - Country:US
Mailing Address - Phone:406-540-4302
Mailing Address - Fax:
Practice Address - Street 1:700 SW HIGGINS AVE STE 102
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-1489
Practice Address - Country:US
Practice Address - Phone:406-540-4302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-14
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT216011363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily