Provider Demographics
NPI:1306091483
Name:WARREN, BRIDGET E (LPN)
Entity type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:E
Last Name:WARREN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 VANFOSSEN RD
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:OH
Mailing Address - Zip Code:45744-7526
Mailing Address - Country:US
Mailing Address - Phone:740-896-2607
Mailing Address - Fax:
Practice Address - Street 1:815 VANFOSSEN RD
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:OH
Practice Address - Zip Code:45744-7526
Practice Address - Country:US
Practice Address - Phone:740-896-2607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH088406164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse