Provider Demographics
NPI:1316722523
Name:HOWARD, BRIDGET LENAY X (CNA)
Entity type:Individual
Prefix:MISS
First Name:BRIDGET
Middle Name:LENAY
Last Name:HOWARD
Suffix:X
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 DANDELION CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-4720
Mailing Address - Country:US
Mailing Address - Phone:931-444-4899
Mailing Address - Fax:
Practice Address - Street 1:1207 DANDELION CT
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-4720
Practice Address - Country:US
Practice Address - Phone:931-444-4899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN177867376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide