Provider Demographics
NPI:1730052572
Name:WILLIG, BRIDGET G (MSN, APN)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:G
Last Name:WILLIG
Suffix:
Gender:F
Credentials:MSN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 GALLOPING HILL RD
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1848
Mailing Address - Country:US
Mailing Address - Phone:732-609-5177
Mailing Address - Fax:
Practice Address - Street 1:4 HARTFORD DR
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07701-4929
Practice Address - Country:US
Practice Address - Phone:732-741-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-27
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15405600363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner