Provider Demographics
NPI:1609602358
Name:HUSS, BRIDGET (RN)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:HUSS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3393 HEMMINGWAY LN
Mailing Address - Street 2:
Mailing Address - City:LAMBERTVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48144-9653
Mailing Address - Country:US
Mailing Address - Phone:419-261-3607
Mailing Address - Fax:
Practice Address - Street 1:3393 HEMMINGWAY LN
Practice Address - Street 2:
Practice Address - City:LAMBERTVILLE
Practice Address - State:MI
Practice Address - Zip Code:48144-9653
Practice Address - Country:US
Practice Address - Phone:419-261-3607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704208037163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse