BRIDGETTE MICHELLE WILLIS NPI 1609001148

NPI Information

  • NPI: 1609001148
  • Provider Name: BRIDGETTE MICHELLE WILLIS
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 1402 VENTNOR AVE
    TARPON SPRINGS, FL
    ZIP 34689
  • Phone: (727) 938-3631

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NPI Details

Bridgette Michelle Willis is a specialist in Tarpon Springs, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Bridgette Michelle Willis NPI is 1609001148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1402 VENTNOR AVE
TARPON SPRINGS, FL
ZIP 34689-733
Phone: (727) 938-3631

The enumeration date for this NPI number is 5/28/2009 and was last updated on 5/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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