Provider Demographics
NPI:1285345587
Name:ANDERSON, BRIDGET MATTHEWS
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:MATTHEWS
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 THISTLE DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-8835
Mailing Address - Country:US
Mailing Address - Phone:215-512-7106
Mailing Address - Fax:
Practice Address - Street 1:13001 E 17TH PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2570
Practice Address - Country:US
Practice Address - Phone:303-724-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN1684881163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine