Provider Demographics
NPI:1841253184
Name:GINGRAS, BRIDGET KANDICE (MSN, RNC, NNP)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:KANDICE
Last Name:GINGRAS
Suffix:
Gender:F
Credentials:MSN, RNC, NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:798 DEVERSON DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-7172
Mailing Address - Country:US
Mailing Address - Phone:972-824-5339
Mailing Address - Fax:469-264-7227
Practice Address - Street 1:3001 GEORGE BUSH HWY
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-3542
Practice Address - Country:US
Practice Address - Phone:214-343-6663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-08
Last Update Date:2015-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX680389363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal