Provider Demographics
NPI:1699346833
Name:MORRISON, BRIDGETTE MARQUITA CARLIT (CAREGIVER PROVIDER)
Entity type:Individual
Prefix:MRS
First Name:BRIDGETTE
Middle Name:MARQUITA CARLIT
Last Name:MORRISON
Suffix:
Gender:F
Credentials:CAREGIVER PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3125 FORSYTHE DR NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35810-2772
Mailing Address - Country:US
Mailing Address - Phone:910-490-5894
Mailing Address - Fax:
Practice Address - Street 1:3125 FORSYTHE DR NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35810-2772
Practice Address - Country:US
Practice Address - Phone:910-490-5894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3747A0650X3747A0650X
AL21174243747A0650X
AL89-20848923747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL2117424OtherCAREGIVER TRANSPORTATION
TX40989775OtherCAREGIVER TRANSPORTATION
ALBMCM2020-OtherCAREGIVER
AL40989775OtherCAREGIVER TRANSPORTATION