Provider Demographics
NPI:1992470496
Name:SMITH, BRIDGET N (CRNP)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:N
Last Name:SMITH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 SAINT VINCENTS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1612
Mailing Address - Country:US
Mailing Address - Phone:205-933-4640
Mailing Address - Fax:205-933-4519
Practice Address - Street 1:833 SAINT VINCENTS DR STE 300
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1612
Practice Address - Country:US
Practice Address - Phone:205-933-4640
Practice Address - Fax:205-933-4519
Is Sole Proprietor?:No
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-126081363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care